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General NPI Number Information
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NPI Number | 1356468698
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Entity Type | Individual
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Provider Name | FRANCISCO D BAUTISTA-MENA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 2600 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33135-1425
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Country | US
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Telephone | 305-631-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR 4TH FLOOR
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City | MIAMI
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State | FL
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Zip | 33126-2055
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Country | US
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Telephone | 305-500-2000
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Fax |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 171183
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License Number State | NY
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