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General NPI Number Information
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NPI Number | 1396935300
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Entity Type | Organization
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Legal Business Name | AGUBELLO PA
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 1330 CORAL WAY SUITE 409
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City | MIAMI
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State | FL
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Zip | 33145-2929
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Country | US
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Telephone | 305-858-4088
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Fax | 305-437-8024
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Provider Business Mailing Address
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Address Line | 1925 BRICKELL AVE APT. 1208D
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City | MIAMI
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State | FL
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Zip | 33129-1737
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Country | US
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Telephone | 305-858-4088
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Fax | 305-437-8024
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Authorized Official
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Title or Position | OWNER
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Name | YSABEL BELLO
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Credential | MD
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Telephone | 305-858-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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