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General NPI Number Information
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NPI Number | 1245741081
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Entity Type | Individual
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Provider Name | EDUARDO JOSUE SUAREZ
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Gender | Male
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 1500 SW 37TH AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-4108
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Country | US
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Telephone | 305-445-3221
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Fax |
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Provider Business Mailing Address
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Address Line | 13058 SW 285TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-7406
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Country | US
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Telephone | 786-543-6970
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS66234
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License Number State | FL
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