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General NPI Number Information
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NPI Number | 1730770702
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Entity Type | Organization
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Legal Business Name | PUPA PEDIATRIC CARE INC
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 303 NE 167TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2304
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Country | US
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Telephone | 786-320-5730
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Fax | 786-320-5730
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Provider Business Mailing Address
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Address Line | 303 NE 167TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2304
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Country | US
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Telephone | 786-320-5730
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Fax | 786-320-5730
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CLAUDIA OSORIO
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Credential |
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Telephone | 786-725-7912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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