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General NPI Number Information
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NPI Number | 1336179985
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Entity Type | Individual
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Provider Name | ROLANDO ELIO DIAZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 9722 SW 184TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-6987
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Country | US
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Telephone | 786-429-3312
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Fax | 786-250-3390
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Provider Business Mailing Address
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Address Line | 4141 SW 6TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2057
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Country | US
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Telephone | 305-442-1740
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Fax | 305-442-2207
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 15857
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME95472
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License Number State | FL
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