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General NPI Number Information
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NPI Number | 1144250440
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Entity Type | Organization
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Legal Business Name | CORAL GABLES CARDIOLOGY INC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 3100 DOUGLAS AVENUE
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-441-6814
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Fax | 305-460-7024
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Provider Business Mailing Address
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Address Line | 3421 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3632
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Country | US
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Telephone | 305-559-6687
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Fax | 305-226-4871
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CARLA F GUERRERO
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Credential |
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Telephone | 305-559-6687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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