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General NPI Number Information
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NPI Number | 1083668198
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Entity Type | Individual
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Provider Name | MARIFEL JUARBE MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 119 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-5779
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Country | US
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Telephone | 813-681-5551
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Fax | 813-654-7203
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Provider Business Mailing Address
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Address Line | 10839 DRAGONWOOD DR
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City | TAMPA
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State | FL
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Zip | 33647-4044
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Country | US
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Telephone | 813-377-3338
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 96542
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 14715
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NC
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