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General NPI Number Information
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NPI Number | 1124132121
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Entity Type | Organization
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Legal Business Name | ANDREW P. AMUNATEGUI, MD, PA
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21355 E DIXIE HWY SUITE 109
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City | AVENTURA
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State | FL
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Zip | 33180-1238
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Country | US
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Telephone | 305-931-9316
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Fax | 305-932-5910
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Provider Business Mailing Address
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Address Line | 21355 E DIXIE HWY SUITE 109
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City | AVENTURA
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State | FL
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Zip | 33180-1238
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Country | US
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Telephone | 305-931-9316
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Fax | 305-932-5910
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANDREW PAUL AMUNATEGUI
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Credential | MD
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Telephone | 305-931-9316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME73972
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License Number State | FL
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