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General NPI Number Information
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NPI Number | 1396376190
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Entity Type | Organization
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Legal Business Name | NCANCIOMORALESMDPA
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 3661 S MIAMI AVE STE 402
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City | MIAMI
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State | FL
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Zip | 33133-4230
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Country | US
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Telephone | 305-281-7063
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Fax | 347-493-4312
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Provider Business Mailing Address
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Address Line | 3661 S MIAMI AVE STE 402
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City | MIAMI
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State | FL
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Zip | 33133-4230
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Country | US
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Telephone | 305-281-7063
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Fax | 347-493-4312
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. NESTOR CANCIO
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Credential |
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Telephone | 305-281-7063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278P1004X
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Taxonomy Name | Pulmonary Diagnostics Certified Respiratory Therapist
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License Number |
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License Number State |
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