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General NPI Number Information
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NPI Number | 1487860714
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Entity Type | Organization
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Legal Business Name | MIGUEL A AMOR MD PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 434 SW 12TH AVE SUITE 306
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City | MIAMI
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State | FL
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Zip | 33130-2440
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Country | US
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Telephone | 305-642-9393
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Fax | 305-642-9996
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Provider Business Mailing Address
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Address Line | PO BOX 144634
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City | CORAL GABLES
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State | FL
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Zip | 33114-4634
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Country | US
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Telephone | 305-642-9393
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Fax | 305-642-9996
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGUEL A AMOR
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Credential | M.D.
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Telephone | 305-642-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME68520
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License Number State | FL
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