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General NPI Number Information
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NPI Number | 1326803693
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Entity Type | Individual
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Provider Name | CARLOS ROMERO DIAZ
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Gender | Male
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 8415 SW 107TH AVE APT 375W
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City | MIAMI
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State | FL
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Zip | 33173-4314
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Country | US
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Telephone | 786-346-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 SW 107TH AVE APT 375W
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City | MIAMI
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State | FL
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Zip | 33173-4314
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Country | US
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Telephone | 305-342-7643
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2424
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 17439-I
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | FL
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