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General NPI Number Information
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NPI Number | 1770505935
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Entity Type | Individual
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Provider Name | MIRIAM ESTEVEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 17395 N BAY RD SUITE 203
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3334
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Country | US
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Telephone | 305-974-0151
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Fax | 305-974-0150
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Provider Business Mailing Address
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Address Line | 8000 W 12TH AVE
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City | HIALEAH
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State | FL
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Zip | 33014-3522
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Country | US
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Telephone | 786-230-6127
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Fax | 305-974-0150
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ME0079171
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License Number State | FL
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