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General NPI Number Information
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NPI Number | 1043498389
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Entity Type | Organization
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Legal Business Name | A. OMAR VENTO
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 4100 NW 9TH ST STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3678
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Country | US
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Telephone | 305-642-2020
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Fax | 305-643-4551
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Provider Business Mailing Address
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Address Line | 4100 NW 9TH SUITE 200
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City | MIAMI
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State | FL
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Zip | 33126-3677
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Country | US
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Telephone | 305-642-2020
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Fax | 305-643-4551
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. A. OMAR VENTO
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Credential | MD
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Telephone | 305-642-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME39937
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License Number State | FL
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