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General NPI Number Information
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NPI Number | 1427225903
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Entity Type | Individual
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Provider Name | KATIA DIEGUEZ-OTERO M.D
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Gender | Female
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 7720 US HIGHWAY 98 W SUITE 100
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-7230
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Country | US
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Telephone | 850-267-1603
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Fax | 850-622-3371
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Provider Business Mailing Address
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Address Line | PO BOX 2699
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City | PENSACOLA
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State | FL
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Zip | 32513-2699
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Country | US
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Telephone | 850-267-1603
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME106134
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME106134
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License Number State | FL
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