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General NPI Number Information
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NPI Number | 1487635447
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Entity Type | Organization
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Legal Business Name | CENTER FOR PEDIATRIC CARE INC
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 10710 SW 34TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3615
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Country | US
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Telephone | 305-559-3605
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Fax | 305-559-7287
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Provider Business Mailing Address
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Address Line | 10710 SW 34TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3615
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Country | US
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Telephone | 305-559-3605
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Fax | 305-559-7287
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | LORETA BIDOT
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Credential | MD
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Telephone | 305-559-3605
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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 |
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License Number State |
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