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General NPI Number Information
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NPI Number | 1760506752
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Entity Type | Organization
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Legal Business Name | CRISTYKIDS PEDIATRICS
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8496 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4153
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Country | US
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Telephone | 305-266-5900
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Fax | 305-261-9389
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Provider Business Mailing Address
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Address Line | 8496 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4153
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Country | US
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Telephone | 305-266-5900
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Fax | 305-261-9389
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA CRISTINA VAZQUEZ
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Credential | M.D.
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Telephone | 305-266-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 80790
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License Number State | FL
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