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General NPI Number Information
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NPI Number | 1336445832
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Entity Type | Organization
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Legal Business Name | ORESTES M PABLOS, MD PA
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 6498 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33155-1949
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Country | US
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Telephone | 305-662-2815
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Fax | 305-663-0716
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Provider Business Mailing Address
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Address Line | PO BOX 440254
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City | MIAMI
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State | FL
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Zip | 33144-0254
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Country | US
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Telephone | 305-662-2815
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Fax | 305-663-0716
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Authorized Official
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Title or Position | PRESIDENT
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Name | ORESTES M PABLOS
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Credential | MD
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Telephone | 305-662-2815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0030109
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License Number State | FL
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