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General NPI Number Information
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NPI Number | 1467754176
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Entity Type | Organization
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Legal Business Name | HELIA IBARRA PEREIRA MD PLLC
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 7150 W 20TH AVE SUITE 313
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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Country | US
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Telephone | 305-854-7502
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 W 20TH AVE SUITE 313
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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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 | HELIA IBARRA PEREIRA
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Credential |
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Telephone | 305-854-7502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 105183
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License Number State | FL
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