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General NPI Number Information
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NPI Number | 1295993954
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Entity Type | Organization
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Legal Business Name | SERGIO XIQUES MD PA
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 11760 SW 40TH ST 420
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City | MIAMI
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State | FL
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Zip | 33175-3582
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Country | US
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Telephone | 305-225-8804
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Fax | 305-225-4466
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Provider Business Mailing Address
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Address Line | 11760 SW 40TH ST 420
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City | MIAMI
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State | FL
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Zip | 33175-3582
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Country | US
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Telephone | 305-225-8804
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Fax | 305-225-4466
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SERGIO J XIQUES
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Credential | MD
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Telephone | 305-225-8804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME0045708
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License Number State | FL
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