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General NPI Number Information
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NPI Number | 1073784781
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Entity Type | Individual
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Provider Name | YERKO DEL TORO FAGUNDO
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Gender | Male
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 6716 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33144-2924
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Country | US
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Telephone | 305-263-7383
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Fax | 305-263-7385
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Provider Business Mailing Address
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Address Line | 6716 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33144-2924
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Country | US
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Telephone | 305-263-7383
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Fax | 305-263-7385
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7714
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License Number State | FL
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