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General NPI Number Information
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NPI Number | 1275675100
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Entity Type | Organization
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Legal Business Name | VIRGILIO DEL PINO MD P A
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 351 NW 42ND AVE STE 105
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City | MIAMI
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State | FL
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Zip | 33126-5670
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Country | US
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Telephone | 786-235-1031
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Fax | 786-235-1033
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Provider Business Mailing Address
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Address Line | 351 NW 42ND AVE STE 105
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City | MIAMI
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State | FL
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Zip | 33126-5670
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Country | US
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Telephone | 786-235-1031
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Fax | 786-235-1033
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Authorized Official
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Title or Position | OWNER
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Name | DR. VIRGILIO DEL PINO
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Credential | M.D.
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Telephone | 786-235-1031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME87043
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License Number State | FL
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