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General NPI Number Information
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NPI Number | 1649421413
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Entity Type | Organization
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Legal Business Name | PATRICIA JUNQUERA-HERRERA MD PA
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 401 CORAL WAY
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City | CORAL GABLES
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State | FL
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Zip | 33134-4930
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Country | US
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Telephone | 305-510-1410
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Fax | 305-665-3467
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Provider Business Mailing Address
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Address Line | 401 CORAL WAY
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City | CORAL GABLES
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State | FL
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Zip | 33134-4930
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Country | US
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Telephone | 305-510-1410
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Fax | 305-665-3467
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA JUNQUERA-HERRERA
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Credential | MD
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Telephone | 305-510-1410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME100207
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License Number State | FL
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