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General NPI Number Information
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NPI Number | 1427473891
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Entity Type | Organization
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Legal Business Name | GABLES HEALTH PRACTICE AYALA MD CORP
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 5246 SW 8TH ST SUITE 101-E
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City | CORAL GABLES
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State | FL
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Zip | 33134-2375
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Country | US
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Telephone | 786-502-3792
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Fax | 786-536-4984
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Provider Business Mailing Address
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Address Line | 5246 SW 8TH ST SUITE 101-E
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City | CORAL GABLES
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State | FL
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Zip | 33134-2375
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Country | US
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Telephone | 786-502-3792
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Fax | 786-536-4984
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RINA P AYALA
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Credential | M.D.
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Telephone | 786-502-3792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME0020484
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License Number State | FL
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