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NPI 1295026243

NPI 1295026243 : IVAN RAPADO M.D : CUTLER BAY, FL

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General NPI Number Information
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    NPI Number           |    1295026243
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    Entity Type          |    Individual 
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    Provider Name        |    IVAN RAPADO M.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/26/2011
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    Last Update Date     |    07/19/2022
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Provider Practice Location Address
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    Address Line         |    10980 SW 184TH ST 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-6615
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    Country              |    US
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    Telephone            |    305-266-2929
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    Fax                  |    786-592-2597
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Provider Business Mailing Address
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    Address Line         |    1200 ALTON RD 
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33139-3810
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    Country              |    US
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    Telephone            |    305-534-0076
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    Fax                  |    448-742-6552
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    ME136964
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    License Number State |    FL
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