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General NPI Number Information
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NPI Number | 1306887922
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Entity Type | Individual
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Provider Name | MARIA T NUALART MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 351 NW 42ND AVE STE 301
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City | MIAMI
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State | FL
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Zip | 33126-5686
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Country | US
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Telephone | 786-332-4757
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Fax | 786-332-4945
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Provider Business Mailing Address
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Address Line | 15771 SW 104TH TER APT 104
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City | MIAMI
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State | FL
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Zip | 33196-3668
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Country | US
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Telephone | 786-728-7005
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Fax |
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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 | ME37973
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License Number State | FL
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