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General NPI Number Information
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NPI Number | 1083436844
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Entity Type | Individual
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Provider Name | DENYS MARTINEZ REYES
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Gender | Male
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 99 NW 183RD ST STE 108A
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-4518
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Country | US
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Telephone | 305-816-6863
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Fax | 305-816-6825
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Provider Business Mailing Address
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Address Line | 99 NW 183RD ST STE 108A
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-4518
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Country | US
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Telephone | 305-816-6863
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Fax | 305-816-6825
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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