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General NPI Number Information
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NPI Number | 1548561186
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Entity Type | Individual
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Provider Name | JUAN MIGUEL FUENTES GUERRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2010
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 7800 SW 21ST ST
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City | MIAMI
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State | FL
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Zip | 33155-6510
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Country | US
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Telephone | 786-231-8274
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Fax |
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Provider Business Mailing Address
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Address Line | 7800 SW 21ST ST
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City | MIAMI
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State | FL
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Zip | 33155-6510
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Country | US
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Telephone | 786-231-8274
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Fax |
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME113031
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License Number State | FL
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