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General NPI Number Information
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NPI Number | 1770907743
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Entity Type | Organization
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Legal Business Name | JOAQUIN S MAURY MD PA
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 8200 SW 117TH AVE STE 416
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City | MIAMI
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State | FL
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Zip | 33183-4828
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Country | US
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Telephone | 786-409-7662
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Fax | 786-409-5881
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Provider Business Mailing Address
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Address Line | 8200 SW 117TH AVE STE 416
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City | MIAMI
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State | FL
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Zip | 33183-4828
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Country | US
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Telephone | 786-409-7662
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Fax | 786-409-5881
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Authorized Official
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Title or Position | MD
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Name | JOAQUIN S MAURY
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Credential |
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Telephone | 305-702-9441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME117409
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME117409
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License Number State | FL
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