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General NPI Number Information
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NPI Number | 1356393581
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Entity Type | Organization
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Legal Business Name | YAMILE B PORRO M D P A
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 8260 W FLAGLER ST SUITE 2M
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City | MIAMI
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State | FL
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Zip | 33144-2069
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Country | US
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Telephone | 786-487-2483
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Fax | 305-531-1528
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Provider Business Mailing Address
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Address Line | 2725 W 66TH ST #13
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City | HIALEAH
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State | FL
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Zip | 33016-2852
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Country | US
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Telephone | 786-487-2483
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Fax | 305-531-1528
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YAMILE B PORRO
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Credential | MDPA
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Telephone | 786-487-2483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME83959
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License Number State | FL
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