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General NPI Number Information
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NPI Number | 1720391287
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Entity Type | Organization
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Legal Business Name | MIAMI CARDIOVASCULAR PREVENTION INSTITUTE
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 6419 SW BIRD ROAD
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City | MIAMI
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State | FL
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Zip | 33155
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Country | US
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Telephone | 305-774-5677
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Fax | 305-774-5697
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Provider Business Mailing Address
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Address Line | PO BOX 144396
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City | CORAL GABLES
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State | FL
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Zip | 33114
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Country | US
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Telephone | 305-774-5677
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Fax | 305-774-5697
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MINERVA SANTOTOMAS
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Credential | MD
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Telephone | 305-774-5677
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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 | ME0043067
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME70314
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License Number State | FL
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