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General NPI Number Information
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NPI Number | 1699543470
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Entity Type | Organization
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Legal Business Name | AURA HEALTH OF FLORIDA
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 741 MOCKINGBIRD LN
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City | PLANTATION
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State | FL
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Zip | 33324-3403
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Country | US
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Telephone | 786-223-7647
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Fax |
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Provider Business Mailing Address
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Address Line | 741 MOCKINGBIRD LN
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City | PLANTATION
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State | FL
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Zip | 33324-3403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | GREIDYS MALETA
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Credential |
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Telephone | 786-223-7647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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