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General NPI Number Information
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NPI Number | 1407991300
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Entity Type | Organization
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Legal Business Name | PEDRO PUBLIO BOSCH MD PA
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 2601 SW 37TH AVE SUITE 601
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City | MIAMI
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State | FL
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Zip | 33133-2700
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Country | US
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Telephone | 305-446-6414
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Fax | 305-446-2350
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Provider Business Mailing Address
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Address Line | 2601 SW 37TH AVE SUITE 601
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City | MIAMI
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State | FL
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Zip | 33133-2700
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Country | US
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Telephone | 305-446-6414
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Fax | 305-446-2350
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | PEDRO P BOSCH
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Credential | MD
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Telephone | 305-446-6414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0028393
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License Number State | FL
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