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General NPI Number Information
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NPI Number | 1447417175
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Entity Type | Individual
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Provider Name | JORGE JAIME BARRERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 5700 N FEDERAL HWY SUITE 6
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-2600
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Country | US
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Telephone | 954-958-7576
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Fax | 965-958-7579
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Provider Business Mailing Address
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Address Line | 5700 N FEDERAL HWY SUITE 6
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-2600
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Country | US
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Telephone | 954-958-7576
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Fax | 954-958-7579
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME112050
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License Number State | FL
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