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General NPI Number Information
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NPI Number | 1144569146
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Entity Type | Individual
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Provider Name | MAGGIE MORALES
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Gender | Female
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 9333 SW 152ND ST 46
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1778
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Country | US
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Telephone | 786-486-0528
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Fax |
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Provider Business Mailing Address
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Address Line | 8368 SW 152ND AVE 46
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City | MIAMI
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State | FL
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Zip | 33193-4089
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Country | US
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Telephone | 786-486-0528
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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