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General NPI Number Information
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NPI Number | 1417985490
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Entity Type | Individual
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Provider Name | ANGEL O VENTO MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 4100 NW 9TH STREET SUITE 200
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 305-642-2020
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Fax | 305-643-4551
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Provider Business Mailing Address
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Address Line | PO BOX 440247
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-642-2020
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Fax | 305-643-4551
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME39937
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License Number State | FL
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