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General NPI Number Information
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NPI Number | 1609215771
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Entity Type | Individual
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Provider Name | HECTOR JOSE CRESPO-GOSENDE M.D., P.A.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 11760 SW 40TH ST STE 606
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City | MIAMI
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State | FL
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Zip | 33175-8105
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Country | US
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Telephone | 305-564-6424
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Fax | 305-564-6425
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Provider Business Mailing Address
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Address Line | 11760 SW 40TH ST STE 606
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City | MIAMI
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State | FL
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Zip | 33175-8105
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Country | US
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Telephone | 305-564-6424
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME122563
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 122563
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License Number State | FL
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