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General NPI Number Information
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NPI Number | 1598955064
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Entity Type | Organization
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Legal Business Name | OSCAR MINOSO DE CAL M D P A
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 5436 SW 8TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2267
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Country | US
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Telephone | 305-444-8676
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Fax |
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Provider Business Mailing Address
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Address Line | 400 AURELIA AVE
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City | CORAL GABLES
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State | FL
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Zip | 33146-3502
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Country | US
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Telephone | 305-975-0588
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OSCAR EMILIO MINOSO Y DE CAL
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Credential | M.D.
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Telephone | 305-975-0588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME77529
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License Number State | FL
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