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General NPI Number Information
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NPI Number | 1346287729
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Entity Type | Organization
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Legal Business Name | LETICIA ADAN MD PA
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 4302 ALTON RD STE 420
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2849
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Country | US
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Telephone | 305-531-1664
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Fax | 305-531-9965
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Provider Business Mailing Address
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Address Line | 4302 ALTON RD STE 420
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2849
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Country | US
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Telephone | 305-216-5048
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Fax | 305-531-9965
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHARISSE MAJELLA DISTURA JINGCO
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Credential |
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Telephone | 305-531-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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