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General NPI Number Information
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NPI Number | 1255575957
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Entity Type | Organization
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Legal Business Name | HECTOR J SERRANO MD PA
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 1378 CORAL WAY SUITE 300
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City | MIAMI
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State | FL
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Zip | 33145-2943
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Country | US
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Telephone | 305-285-0996
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Fax | 866-571-2719
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Provider Business Mailing Address
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Address Line | 1378 CORAL WAY SUITE 300
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City | MIAMI
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State | FL
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Zip | 33145-2943
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Country | US
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Telephone | 305-285-0996
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Fax | 866-571-2719
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | KATHY BALANAG
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Credential |
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Telephone | 305-285-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME0036873
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License Number State | FL
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