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General NPI Number Information
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NPI Number | 1346460532
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Entity Type | Individual
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Provider Name | MARIA DEL CARMEN GUTIERREZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 10621 N KENDALL DR STE 113
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City | MIAMI
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State | FL
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Zip | 33176-1549
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Country | US
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Telephone | 786-397-2588
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Fax | 305-670-6007
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Provider Business Mailing Address
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Address Line | 10621 N KENDALL DR STE 113
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City | MIAMI
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State | FL
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Zip | 33176-1549
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Country | US
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Telephone | 305-670-6006
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Fax | 305-670-6007
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME100361
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License Number State | FL
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