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General NPI Number Information
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NPI Number | 1205505252
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Entity Type | Individual
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Provider Name | ADRIAN RIGUERO PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/12/2021
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 790 NW 107TH AVE STE 110
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City | MIAMI
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State | FL
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Zip | 33172-3100
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Country | US
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Telephone | 305-964-5426
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Fax |
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Provider Business Mailing Address
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Address Line | 9550 SW 147TH ST
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City | MIAMI
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State | FL
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Zip | 33176-7831
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9115236
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License Number State | FL
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