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General NPI Number Information
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NPI Number | 1649726167
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Entity Type | Organization
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Legal Business Name | MIAMI ENDOCRINOLOGY SPECIALISTS
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 1400 NE MIAMI GARDENS DR STE 104
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City | MIAMI
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State | FL
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Zip | 33179-4843
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Country | US
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Telephone | 305-814-8637
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Fax | 877-500-7327
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Provider Business Mailing Address
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Address Line | 7048 W 17TH CT
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City | HIALEAH
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State | FL
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Zip | 33014-4419
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Country | US
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Telephone | 305-794-2025
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANTHONY CENIZA DOMINGO
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Credential | M.D.
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Telephone | 305-794-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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