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NPI 1700148574

NPI 1700148574 : MIAMI CHILDREN S NEUROLOGY PA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1700148574
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIAMI CHILDREN S NEUROLOGY PA 
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Dates
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    Enumeration Date     |    06/08/2012
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    Last Update Date     |    10/17/2012
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Provider Practice Location Address
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    Address Line         |    7765 SW 87TH AVE STE. 120
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33173-2596
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    Country              |    US
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    Telephone            |    786-338-9381
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    Fax                  |    786-375-5347
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Provider Business Mailing Address
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    Address Line         |    7765 SW 87TH AVE STE. 120
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33173-2596
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    Country              |    US
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    Telephone            |    786-338-9381
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    Fax                  |    786-375-5347
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. OSCAR  PAPAZIAN 
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    Credential           |    M.D.
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    Telephone            |    786-338-9381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    ME0020888
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    License Number State |    FL
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