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General NPI Number Information
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NPI Number | 1336378868
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Entity Type | Organization
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Legal Business Name | AVENTURA INSTITUTE FOR WOMENS
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 21150 BISCAYNE BLVD SUITE 200
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City | AVENTURA
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State | FL
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Zip | 33180-1226
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Country | US
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Telephone | 305-932-8989
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Fax | 305-932-1118
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Provider Business Mailing Address
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Address Line | 21150 BISCAYNE BLVD SUITE 200
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City | AVENTURA
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State | FL
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Zip | 33180-1226
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Country | US
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Telephone | 305-932-8989
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Fax | 305-932-1118
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | LAURA E REINERTSON
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Credential | MD
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Telephone | 305-932-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME0078533
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License Number State | FL
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