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General NPI Number Information
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NPI Number | 1750820197
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Entity Type | Organization
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Legal Business Name | FIBERS NEUROLOGICAL INSTITUTE, LLC
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 4800 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2861
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Country | US
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Telephone | 305-878-1807
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2861
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Country | US
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Telephone | 305-878-1807
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SANTIAGO FIGUEREO
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Credential | M.D.
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Telephone | 305-878-1807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME94748
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License Number State | FL
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