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General NPI Number Information
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NPI Number | 1336271527
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Entity Type | Organization
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Legal Business Name | VARIETY CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 17615 SW 97 AVE
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City | MIAMI
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State | FL
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Zip | 33157-5636
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Country | US
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Telephone | 786-624-3856
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Fax | 786-268-1738
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Provider Business Mailing Address
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Address Line | PO BOX 557367
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City | MIAMI
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State | FL
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Zip | 33255-7367
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP & CFO
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Name | PEDRO ALFARO
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Credential |
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Telephone | 305-669-6422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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