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General NPI Number Information
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NPI Number | 1396797437
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Entity Type | Organization
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Legal Business Name | A ENRIQUE WHITTWELL MD PA
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR STE 304
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City | MIAMI
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State | FL
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Zip | 33176-2144
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Country | US
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Telephone | 786-621-3897
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Fax | 305-675-2788
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Provider Business Mailing Address
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Address Line | 8950 N KENDALL DR STE 304
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City | MIAMI
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State | FL
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Zip | 33176-2144
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Country | US
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Telephone | 786-621-3897
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Fax | 305-675-2788
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AUGUSTO ENRIQUE WHITTWELL
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Credential |
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Telephone | 786-621-3897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | FL
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