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General NPI Number Information
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NPI Number | 1649712761
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Entity Type | Individual
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Provider Name | NATALIA JAIMES MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 1600 NW 10TH AVE RMSB 2023A (LOCATOR CODE 250)
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City | MIAMI
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State | FL
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Zip | 33136-1015
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Country | US
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Telephone | 305-243-6735
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 NW 10TH AVE RMSB 2023A (LOCATOR CODE 250)
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City | MIAMI
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State | FL
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Zip | 33136-1015
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Country | US
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Telephone | 305-243-6735
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 5163604
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License Number State | ZZ
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MFC1784
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License Number State | FL
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