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General NPI Number Information
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NPI Number | 1487847604
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Entity Type | Organization
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Legal Business Name | ANGEL CARRASCO, M.D.P.A
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 7200 NW 7TH ST SUITE 206
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 305-266-0222
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Fax | 305-266-0848
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Provider Business Mailing Address
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Address Line | 7200 NW 7TH ST SUITE 206
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 305-266-0222
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Fax | 305-266-0848
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGEL CARRASCO
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Credential | M.D.P,A.
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Telephone | 305-266-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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