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General NPI Number Information
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NPI Number | 1427535178
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Entity Type | Organization
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Legal Business Name | DEL CAMPO DERMATOLOGY LLC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 1691 MICHIGAN AVE STE 500
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City | MIAMI BEACH
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State | FL
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Zip | 33139-2559
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Country | US
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Telephone | 305-705-6675
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Fax |
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Provider Business Mailing Address
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Address Line | 77 N SHORE DR
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3912
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERTA DEL CAMPO
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Credential | MD
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Telephone | 305-705-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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