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General NPI Number Information
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NPI Number | 1528276938
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Entity Type | Organization
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Legal Business Name | DORAL PEDIATRICS P.A.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 10723 NW 58TH ST
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City | DORAL
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State | FL
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Zip | 33178-2801
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Country | US
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Telephone | 305-513-0200
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Fax | 305-513-4100
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Provider Business Mailing Address
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Address Line | 10723 NW 58TH ST
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City | DORAL
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State | FL
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Zip | 33178-2801
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Country | US
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Telephone | 305-513-0200
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Fax | 305-513-4100
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. SILVIA ROSA PEREZ-PASCUAL
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Credential | M.D.
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Telephone | 305-513-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | ME69503
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License Number State | FL
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