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General NPI Number Information
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NPI Number | 1063212637
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Entity Type | Individual
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Provider Name | CESAR SEGARRA MD
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5995 SW 71ST ST # 1A
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3531
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Country | US
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Telephone | 305-669-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 11518 SW 235TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-6267
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Country | US
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Telephone | 202-853-8433
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | HSE44023
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License Number State | FL
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