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General NPI Number Information
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NPI Number | 1720359482
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Entity Type | Individual
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Provider Name | VLADIMIR I PADRON MA
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Gender | Male
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 21 NW 136TH CT
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City | MIAMI
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State | FL
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Zip | 33182-1932
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Country | US
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Telephone | 305-281-0820
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Fax | 305-388-2613
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Provider Business Mailing Address
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Address Line | 21 NW 136TH CT
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City | MIAMI
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State | FL
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Zip | 33182-1932
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Country | US
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Telephone | 305-281-0820
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Fax | 305-388-2613
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA65506
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11006721
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License Number State | FL
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