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General NPI Number Information
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NPI Number | 1679006761
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Entity Type | Organization
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Legal Business Name | ALVAREZ DIAZ PEDIATRICS CORP
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 7235 CORAL WAY STE 214
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City | MIAMI
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State | FL
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Zip | 33155-1452
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Country | US
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Telephone | 305-200-3570
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Fax | 305-392-0714
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Provider Business Mailing Address
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Address Line | 7235 CORAL WAY STE 214
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City | MIAMI
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State | FL
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Zip | 33155-1452
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Country | US
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Telephone | 305-200-3570
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Fax | 305-392-0714
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMIRO ALVAREZ DIAZ
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Credential | M.D.
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Telephone | 305-431-3468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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