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General NPI Number Information
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NPI Number | 1437344991
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Entity Type | Individual
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Provider Name | CARLOS A. HIGUERA RUEDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/01/2024
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Provider Practice Location Address
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Address Line | 2950 CLEVELAND CLINIC BLVD FL 3
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City | WESTON
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State | FL
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Zip | 33331-3625
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Country | US
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Telephone | 216-401-1385
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Fax | 954-659-5427
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Provider Business Mailing Address
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Address Line | 490 RANCH RD
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City | WESTON
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State | FL
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Zip | 33326-1719
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Country | US
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Telephone | 216-401-1385
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | ME135802
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 35.099421
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME135802
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License Number State | FL
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