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General NPI Number Information
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NPI Number | 1700851458
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Entity Type | Individual
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Provider Name | MIRIAM MERCEDES MALDONADO LM
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 10540 NW 26TH STREET BLDG G UNIT 108
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City | DORAL
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State | FL
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Zip | 33172-2104
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Country | US
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Telephone | 786-607-2229
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Fax | 813-365-3074
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Provider Business Mailing Address
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Address Line | PO BOX 557203
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City | MIAMI
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State | FL
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Zip | 33255-7203
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Country | US
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Telephone | 786-234-9056
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Fax | 813-365-3074
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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 | 374J00000X
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Taxonomy Name | Doula
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW165
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License Number State | FL
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