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General NPI Number Information
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NPI Number | 1063739365
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Entity Type | Individual
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Provider Name | ARTURO E CARVAJAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 3990 W FLAGLER ST STE 403
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City | CORAL GABLES
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State | FL
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Zip | 33134-1644
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Country | US
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Telephone | 305-444-4100
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Fax | 305-444-4143
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Provider Business Mailing Address
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Address Line | PO BOX 85058
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City | HALLANDALE
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State | FL
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Zip | 33008
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Country | US
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Telephone | 954-456-6122
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Fax | 954-456-6122
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME28403
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License Number State | FL
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