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General NPI Number Information
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NPI Number | 1518158518
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Entity Type | Individual
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Provider Name | ROGELIO RAFAEL GARCIA-MORALES M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 320 SW 109TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-1332
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Country | US
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Telephone | 305-220-2835
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Fax | 305-220-2835
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Provider Business Mailing Address
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Address Line | 10244 SW 8TH TER
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City | MIAMI
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State | FL
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Zip | 33174-2702
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Country | US
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Telephone | 305-554-8402
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Fax | 305-220-2835
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 30080
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License Number State | FL
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