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General NPI Number Information
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NPI Number | 1508067620
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Entity Type | Individual
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Provider Name | DR. MICHAEL GERALD BARAGA
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE JACKSON MEMORIAL HOSPITAL, DEPT. OF ORTHOPAEDIC SURGERY
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-1315
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1002
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Country | US
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Telephone | 305-585-7275
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Fax | 305-545-8809
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN9840
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME113318
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License Number State | FL
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