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General NPI Number Information
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NPI Number | 1124381108
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Entity Type | Individual
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Provider Name | GABRIEL VALVERDE TAVAREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2012
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR STE 302
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City | MIAMI
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State | FL
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Zip | 33176-2131
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Country | US
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Telephone | 305-595-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 N KENDALL DR STE 302
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City | MIAMI
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State | FL
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Zip | 33176-2131
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Country | US
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Telephone | 305-595-3526
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN17348
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0082556
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME163368
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License Number State | FL
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