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General NPI Number Information
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NPI Number | 1720154156
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Entity Type | Organization
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Legal Business Name | BRIGIDO V LEGASPI MD PA
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 21150 BISCAYNE BLVD SUITE 304
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City | AVENTURA
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State | FL
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Zip | 33180-1226
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Country | US
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Telephone | 305-200-1829
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Fax |
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Provider Business Mailing Address
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Address Line | 21150 BISCAYNE BLVD SUITE 304
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City | AVENTURA
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State | FL
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Zip | 33180-1226
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Country | US
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Telephone | 305-200-1829
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIGIDO V LEGASPI
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Credential | MD
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Telephone | 305-200-1829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME72262
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License Number State | FL
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