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General NPI Number Information
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NPI Number | 1619004454
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Entity Type | Organization
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Legal Business Name | THE PENA MEDICAL GROUP CO
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 330 SW 27TH AVE STE 701
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City | MIAMI
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State | FL
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Zip | 33135-2961
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Country | US
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Telephone | 305-642-7186
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Fax | 305-642-5114
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Provider Business Mailing Address
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Address Line | 330 SW 27TH AVE STE 701
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City | MIAMI
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State | FL
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Zip | 33135-2961
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Country | US
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Telephone | 305-642-7186
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Fax | 305-642-5114
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERIBERTO PENA
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Credential | M.D
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Telephone | 305-642-7186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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