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General NPI Number Information
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NPI Number | 1407247588
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Entity Type | Individual
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Provider Name | IDANIA TERESA GARCIA DEL SOL M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 18590 NW 67TH AVE STE 200A&200
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City | HIALEAH
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State | FL
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Zip | 33015-3460
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Country | US
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Telephone | 305-914-7269
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Fax | 305-914-2883
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Provider Business Mailing Address
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Address Line | 18590 NW 67TH AVE STE 200A&200
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City | HIALEAH
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State | FL
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Zip | 33015-3460
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Country | US
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Telephone | 305-914-7269
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Fax | 305-914-2883
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME122829
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License Number State | FL
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