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General NPI Number Information
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NPI Number | 1043233646
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Entity Type | Individual
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Provider Name | DIBE MARTIN MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 7300 SW 62ND PLACE SUITE PHE
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City | MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-662-6367
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Fax | 305-662-6370
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Provider Business Mailing Address
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Address Line | 7300 SW 62ND PLACE SUITE PHE
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City | MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-662-6367
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Fax | 305-662-6370
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0073050
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME73050
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License Number State | FL
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