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General NPI Number Information
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NPI Number | 1285875625
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Entity Type | Organization
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Legal Business Name | FEDERICO DUMENIGO, MD, PA
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 78 SW 13TH AVE SUITE 201
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City | MIAMI
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State | FL
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Zip | 33135-2479
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Country | US
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Telephone | 305-631-0470
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Fax | 305-631-9962
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Provider Business Mailing Address
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Address Line | 78 SW 13TH AVE SUITE 201
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City | MIAMI
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State | FL
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Zip | 33135-2479
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Country | US
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Telephone | 305-631-0470
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Fax | 305-631-9962
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Authorized Official
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Title or Position | OWNER
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Name | DR. FEDERICO DUMENIGO
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Credential | MD, PA.
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Telephone | 305-631-0470
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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 | E14379
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License Number State | FL
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