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General NPI Number Information
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NPI Number | 1427161140
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES OF MIAMI BEACH
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-2684
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 143107 SUITE 300
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City | CORAL GABLES
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State | FL
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Zip | 33114-3107
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Country | US
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Telephone | 305-674-2684
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Fax |
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Authorized Official
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Title or Position | RADIOLOGY
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Name | MRS. ANAMARY QUIROS-MESA
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Credential | M.D.
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Telephone | 305-674-2684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME76457
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License Number State | FL
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