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General NPI Number Information
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NPI Number | 1124450754
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Entity Type | Individual
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Provider Name | JUAN PEREZ BARCENA MD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 201 CRANDON BLVD APT 442
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-1575
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Country | US
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Telephone | 305-987-3540
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Fax |
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Provider Business Mailing Address
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Address Line | 201 CRANDON BLVD APT 442
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-1575
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Country | US
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Telephone | 305-987-3540
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 18361
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License Number State | FL
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