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General NPI Number Information
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NPI Number | 1427143890
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Entity Type | Organization
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Legal Business Name | CARLOS A GARCIA-RIVERA, DOPA
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 9240 SW 72ND ST SUITE 118
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City | MIAMI
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State | FL
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Zip | 33173-3261
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Country | US
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Telephone | 305-229-9899
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Fax | 786-431-2844
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Provider Business Mailing Address
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Address Line | 9240 SW 72ND ST STE 118
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City | MIAMI
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State | FL
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Zip | 33173-3262
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Country | US
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Telephone | 305-229-9899
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Fax | 786-431-2844
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS GARCIA-RIVERA
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Credential | D.O.
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Telephone | 305-229-9899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | OS 8566
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License Number State | FL
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