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General NPI Number Information
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NPI Number | 1467367094
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Entity Type | Organization
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Legal Business Name | ROCIO PESTANA, MD, LLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 5995 SW 71ST ST STE 403B
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3531
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Country | US
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Telephone | 305-665-6926
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Fax |
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Provider Business Mailing Address
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Address Line | 5995 SW 71ST ST STE 403B
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3531
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Country | US
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Telephone | 305-665-6926
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | LISA SOSA
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Credential |
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Telephone | 305-549-8937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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