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General NPI Number Information
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NPI Number | 1467187369
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Entity Type | Organization
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Legal Business Name | DR CAMPOS WELLNESS AND AESTHETICS
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Dates
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Enumeration Date | 07/24/2022
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Last Update Date | 07/24/2022
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Provider Practice Location Address
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Address Line | 7261 SW 48TH ST
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City | MIAMI
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State | FL
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Zip | 33155-5518
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Country | US
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Telephone | 305-401-4153
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Fax |
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Provider Business Mailing Address
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Address Line | 10925 SW 26TH ST
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City | MIAMI
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State | FL
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Zip | 33165-2301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA CAMPOS
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Credential | MD
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Telephone | 305-799-5526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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