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General NPI Number Information
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NPI Number | 1720160864
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Entity Type | Organization
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Legal Business Name | MIAMI GASTROENTEROLOGY CONSULTANTS, PA
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 8525 SW 92 ST SUITE C10
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City | MIAMI
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State | FL
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Zip | 33156
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Country | US
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Telephone | 305-274-7800
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Fax | 305-270-1246
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Provider Business Mailing Address
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Address Line | 8525 SW 92 ST SUITE C10
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City | MIAMI
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State | FL
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Zip | 33156
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Country | US
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Telephone | 305-274-7800
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Fax | 305-270-1246
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Authorized Official
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Title or Position | PARTNER PHYSICIAN
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Name | MIGUEL J RODRIQUEZ
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Credential | MD
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Telephone | 305-274-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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