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General NPI Number Information
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NPI Number | 1457342479
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Entity Type | Individual
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Provider Name | MIGUEL A ONETO MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 17371 BALARIA ST
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City | BOCA RATON
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State | FL
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Zip | 33496-3279
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Country | US
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Telephone | 956-622-4470
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Fax | 888-557-6285
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Provider Business Mailing Address
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Address Line | 28430 VALENCIA CIR W
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City | HARLINGEN
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State | TX
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Zip | 78552-2241
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Country | US
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Telephone | 956-627-3083
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L4617
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License Number State | TX
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