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General NPI Number Information
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NPI Number | 1720286529
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Entity Type | Individual
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Provider Name | ROBERTO AUGUSTO MIKI MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 9765 SW 184TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-6932
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Country | US
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Telephone | 305-308-0210
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Fax | 305-426-3329
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Provider Business Mailing Address
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Address Line | 9765 SW 184TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-6932
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Country | US
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Telephone | 305-308-0210
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Fax | 305-426-3329
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME98778
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License Number State | FL
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