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General NPI Number Information
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NPI Number | 1336370345
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Entity Type | Individual
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Provider Name | ROBERTO PATARCA MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 16445 COLLINS AVE APT 328
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4562
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Country | US
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Telephone | 305-940-9047
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Fax | 305-354-4707
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Provider Business Mailing Address
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Address Line | 16445 COLLINS AVE APT 328
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4562
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Country | US
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Telephone | 305-940-9047
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Fax | 305-354-4707
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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 | ME 75294
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License Number State | FL
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