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General NPI Number Information
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NPI Number | 1184745713
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Entity Type | Organization
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Legal Business Name | JEAN PIERRE MD INC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 1873 W FLAGLER ST SUITE 5
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City | MIAMI
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State | FL
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Zip | 33135-1976
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Country | US
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Telephone | 305-649-4588
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Fax | 305-649-0202
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Provider Business Mailing Address
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Address Line | 430 S DIXIE HWY SUITE 210
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City | CORAL GABLES
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State | FL
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Zip | 33146-2273
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Country | US
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Telephone | 786-942-2242
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEAN MARIO PIERRE
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Credential | MD
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Telephone | 786-942-2242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME81585
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License Number State | FL
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