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General NPI Number Information
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NPI Number | 1366696288
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Entity Type | Organization
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Legal Business Name | LA CARIDAD M D P A
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 9995 SUNSET DR SUITE 203
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City | MIAMI
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State | FL
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Zip | 33173-4662
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Country | US
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Telephone | 305-273-3601
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Fax | 305-273-3635
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Provider Business Mailing Address
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Address Line | 9995 SUNSET DR SUITE 203
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City | MIAMI
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State | FL
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Zip | 33173-4662
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Country | US
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Telephone | 305-273-3601
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Fax | 305-273-3635
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Authorized Official
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Title or Position | OWNER
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Name | SONIA MARITZA RAMIREZ-BAEZ
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Credential | M.D.
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Telephone | 305-273-3601
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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 | ME64243
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License Number State | FL
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