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General NPI Number Information
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NPI Number | 1720020860
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Entity Type | Individual
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Provider Name | NIBERTO L MORENO MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 9195 SW 72ND ST STE 200
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City | MIAMI
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State | FL
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Zip | 33173-3488
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Country | US
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Telephone | 786-803-8222
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Fax | 786-803-8224
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Provider Business Mailing Address
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Address Line | 9195 SW 72ND ST STE 200
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City | MIAMI
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State | FL
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Zip | 33173-3488
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Country | US
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Telephone | 786-803-8222
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Fax | 786-803-8224
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME40606
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License Number State | FL
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