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General NPI Number Information
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NPI Number | 1619949641
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Entity Type | Individual
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Provider Name | CAROLE D. BRATHWAITE TALBOT M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 3100 SW 62 AVENUE
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 305-662-8248
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Fax | 305-669-6419
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Provider Business Mailing Address
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Address Line | P.O. BOX 198235
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City | ATLANTA
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State | GA
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Zip | 30384-8235
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Country | US
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Telephone | 305-662-8248
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Fax | 305-669-6419
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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 | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | ME62536
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME62536
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | ME62536
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License Number State | FL
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