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General NPI Number Information
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NPI Number | 1073637617
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Entity Type | Individual
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Provider Name | ANDREA MAGGIONI MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 1172 S DIXIE HWY #275
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City | CORAL GABLES
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State | FL
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Zip | 33146-2918
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Country | US
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Telephone | 305-219-9022
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Fax | 305-662-8232
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Provider Business Mailing Address
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Address Line | 1172 S DIXIE HWY #275
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City | CORAL GABLES
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State | FL
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Zip | 33146-2918
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Country | US
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Telephone | 305-219-9022
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Fax | 305-662-8232
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME-0072937
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License Number State | FL
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