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General NPI Number Information
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NPI Number | 1700077021
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Entity Type | Individual
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Provider Name | DENI MALAVE-HUERTAS MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 1050 37TH PL SUITE 101 & 102
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City | VERO BEACH
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State | FL
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Zip | 32960-6578
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Country | US
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Telephone | 772-770-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 GREY FALCON CIR SW
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City | VERO BEACH
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State | FL
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Zip | 32962-8616
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Country | US
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Telephone | 787-667-3805
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 26185
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME 102221
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License Number State | FL
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