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General NPI Number Information
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NPI Number | 1417950551
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Entity Type | Individual
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Provider Name | ROSITA PETECH STOIK M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7330 SW 62ND PL STE 210
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4825
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Country | US
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Telephone | 305-661-2141
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Fax | 305-661-7451
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Provider Business Mailing Address
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Address Line | 7330 SW 62ND PL STE 210
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4825
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Country | US
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Telephone | 305-661-2141
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Fax | 305-661-7451
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME0010992
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License Number State | FL
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