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General NPI Number Information
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NPI Number | 1558425090
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Entity Type | Organization
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Legal Business Name | MIAMI ASSOCIATES IN PEDIATRIC SURGERY PA
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 3200 SW 60TH CT SUITE # 201
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City | MIAMI
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State | FL
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Zip | 33155-4000
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Country | US
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Telephone | 305-662-8320
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Fax | 305-665-2467
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Provider Business Mailing Address
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Address Line | 3200 SW 60TH CT SUITE # 201
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City | MIAMI
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State | FL
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Zip | 33155-4000
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Country | US
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Telephone | 305-662-8320
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Fax | 305-665-2467
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Authorized Official
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Title or Position | PRESIDENT
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Name | CATHY A. BURNWELT
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Credential | MD
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Telephone | 305-662-8322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0057558
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License Number State | FL
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