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General NPI Number Information
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NPI Number | 1093963480
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Entity Type | Individual
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Provider Name | MABEL LABRADA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 8004 NW 154TH ST # 371
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5814
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Country | US
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Telephone | 786-945-5455
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Fax | 754-335-7057
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Provider Business Mailing Address
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Address Line | 8004 NW 154TH ST # 371
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5814
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Country | US
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Telephone | 786-945-5455
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Fax | 754-335-7057
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME104817
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License Number State | FL
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