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General NPI Number Information
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NPI Number | 1750045985
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Entity Type | Organization
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Legal Business Name | KYRENIA MD AESTHETICS MEDICINE
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 8300 SW 8TH ST STE 105
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City | MIAMI
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State | FL
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Zip | 33144-4100
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Country | US
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Telephone | 786-200-2130
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 SW 112TH CT
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City | MIAMI
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State | FL
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Zip | 33165-6849
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Country | US
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Telephone | 786-200-2130
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KYRENIA SANCHEZ RODRIGUEZ
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Credential | MD
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Telephone | 786-200-2130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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