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General NPI Number Information
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NPI Number | 1326625831
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Entity Type | Individual
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Provider Name | NATHALIE PATRICIA SUAREZ MOSCOSO MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 4105 PEMBROKE RD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8103
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Country | US
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Telephone | 954-276-5552
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Fax | 954-985-2295
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Provider Business Mailing Address
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Address Line | 1054 NW 184TH WAY
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3631
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Country | US
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Telephone | 929-434-5297
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME170565
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License Number State | FL
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