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General NPI Number Information
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NPI Number | 1114339652
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Entity Type | Individual
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Provider Name | MAGDA CELAYA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 5000 UNIVERSITY DRIVE
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City | CORAL GABLES
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State | FL
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Zip | 33146-2094
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Country | US
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Telephone | 786-308-3730
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Fax | 786-308-3738
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Provider Business Mailing Address
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Address Line | 5896 SW 16TH ST
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City | MIAMI
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State | FL
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Zip | 33155-2105
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Country | US
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Telephone | 305-262-0203
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME0040798
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License Number State | FL
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