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General NPI Number Information
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NPI Number | 1568610244
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Entity Type | Organization
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Legal Business Name | FLAVIA VAN RIEL MD PA
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 975 ARTHUR GODFREY RD SUITE 301
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3329
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Country | US
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Telephone | 305-401-8899
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Fax | 305-721-1692
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Provider Business Mailing Address
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Address Line | 4315 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2850
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Country | US
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Telephone | 305-401-8899
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Fax | 305-721-1692
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FLAVIA VAN RIEL
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Credential | MD
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Telephone | 305-401-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | ME 86943
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License Number State | FL
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