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General NPI Number Information
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NPI Number | 1336198936
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Entity Type | Organization
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Legal Business Name | WILLIAM SUAREZ
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1401 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33145-1234
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Country | US
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Telephone | 305-643-9999
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Fax | 305-643-1037
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Provider Business Mailing Address
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Address Line | 1401 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33145-1234
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Country | US
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Telephone | 305-643-9999
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Fax | 305-643-1037
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Authorized Official
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Title or Position | M.D.
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Name | WILLIAM SUAREZ
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Credential | MD
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Telephone | 305-643-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME80674
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License Number State | FL
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