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General NPI Number Information
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NPI Number | 1699982959
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Entity Type | Individual
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Provider Name | EVELINE H PADILLA MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 4410 W 16TH AVE SUITE #61
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City | HIALEAH
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State | FL
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Zip | 33012-7100
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Country | US
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Telephone | 305-364-2888
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Fax | 305-364-2883
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Provider Business Mailing Address
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Address Line | 275 GALEON CT
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City | CORAL GABLES
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State | FL
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Zip | 33143-6529
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Country | US
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Telephone | 305-662-5860
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Fax | 305-662-5817
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME55351
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License Number State | FL
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