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General NPI Number Information
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NPI Number | 1417257338
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Entity Type | Organization
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Legal Business Name | PEDIATRICS SERVICES OF MIAMI INC
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 434 SW 12TH AVE SUITE 302
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City | MIAMI
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State | FL
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Zip | 33130-2440
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Country | US
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Telephone | 786-339-1867
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Fax |
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Provider Business Mailing Address
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Address Line | 434 SW 12TH AVE SUITE 302
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City | MIAMI
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State | FL
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Zip | 33130-2440
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Country | US
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Telephone | 786-339-1867
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANGELO MONTERO
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Credential | M.D
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Telephone | 786-339-1867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME102172
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License Number State | FL
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