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General NPI Number Information
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NPI Number | 1194715144
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Entity Type | Individual
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Provider Name | DIANA MARIA BARALT MD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 2251 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33145-3433
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Country | US
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Telephone | 305-856-2002
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Fax | 305-856-0550
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Provider Business Mailing Address
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Address Line | 1118 CAPRI ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2406
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Country | US
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Telephone | 305-856-2002
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Fax | 305-856-0550
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0072403
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License Number State | FL
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