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General NPI Number Information
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NPI Number | 1457305880
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Entity Type | Individual
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Provider Name | CARMEN R URIBE MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 15122 SW 72ND ST
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City | MIAMI
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State | FL
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Zip | 33193-3228
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Country | US
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Telephone | 305-383-3848
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Fax | 305-383-7601
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Provider Business Mailing Address
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Address Line | 6638 SW 112TH CT
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City | MIAMI
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State | FL
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Zip | 33173-1976
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Country | US
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Telephone | 305-383-3848
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Fax | 305-383-7601
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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 | ME0034811
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | ME34811
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License Number State | FL
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