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General NPI Number Information
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NPI Number | 1366638892
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Entity Type | Individual
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Provider Name | REBECCA C ESTEBAN MALARET M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 100 NW 82ND AVE STE 405
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City | PLANTATION
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State | FL
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Zip | 33324-1835
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Country | US
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Telephone | 954-256-4416
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Fax | 888-613-5717
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Provider Business Mailing Address
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Address Line | 100 NW 82ND AVE STE 405
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City | PLANTATION
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State | FL
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Zip | 33324-1835
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Country | US
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Telephone | 954-256-4416
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Fax | 888-613-5717
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13957
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License Number State | PR
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