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General NPI Number Information
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NPI Number | 1124072756
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Entity Type | Individual
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Provider Name | RENE PELLEYA KOURI MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 306 W 41ST ST
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3603
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Country | US
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Telephone | 305-535-1500
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Fax | 305-461-5911
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 400
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City | MIAMI
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State | FL
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Zip | 33126-2051
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Country | US
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Telephone | 305-500-2000
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Fax | 305-461-5911
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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 | ME0032934
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License Number State | FL
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