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General NPI Number Information
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NPI Number | 1437340676
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Entity Type | Individual
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Provider Name | MARIE MYRTHA GREGOIRE-BOTTEX MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 1971 SW 172ND AVE STE 3128
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City | MIRAMAR
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State | FL
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Zip | 33029-5592
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Country | US
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Telephone | 914-462-7411
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Fax | 914-402-9389
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Provider Business Mailing Address
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Address Line | 2701 BISCAYNE BLVD APT 7102
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City | MIAMI
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State | FL
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Zip | 33137-5302
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Country | US
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Telephone | 914-462-7411
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Fax | 914-402-9389
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME138651
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4304301095389
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 235797
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 4304301095389
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 235797
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | ME138651
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | ME138651
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License Number State | FL
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