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General NPI Number Information
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NPI Number | 1639387525
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Entity Type | Organization
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Legal Business Name | ROZALYN HESTER PASCHAL MD PA
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 7900 NW 27TH AVE SUITE 50
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City | MIAMI
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State | FL
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Zip | 33147-4902
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Country | US
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Telephone | 305-758-0591
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Fax | 305-836-5445
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Provider Business Mailing Address
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Address Line | PO BOX 370608
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City | MIAMI
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State | FL
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Zip | 33137-0608
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Country | US
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Telephone | 305-758-0591
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Fax | 305-836-5445
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROZALYN AGENORIA PASCHAL-THOMAS
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Credential | M.D.
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Telephone | 305-758-0591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME030785
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License Number State | FL
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