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NPI 1780871004

NPI 1780871004 : JUAN C GALINDO TECHNOLOGIST : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1780871004
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    Entity Type          |    Individual 
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    Provider Name        |    JUAN C GALINDO TECHNOLOGIST
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/01/2007
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    Last Update Date     |    10/01/2007
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Provider Practice Location Address
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    Address Line         |    3271 NW 7TH ST STE 202 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33125-4141
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    Country              |    US
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    Telephone            |    305-644-1236
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    Fax                  |    305-644-1795
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Provider Business Mailing Address
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    Address Line         |    12080 SW 250TH ST 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33032-5967
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    Country              |    US
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    Telephone            |    786-246-4742
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    Fax                  |    305-644-1795
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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        |    246XC2903X
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    Taxonomy Name        |    Vascular Specialist/Technologist Cardiovascular
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    License Number       |    54033
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    246Z00000X
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    Taxonomy Name        |    Other Specialist/Technologist
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    License Number       |    494
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    247100000X
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    Taxonomy Name        |    Radiologic Technologist
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    License Number       |    BMO52916
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    2471S1302X
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    Taxonomy Name        |    Sonography Radiologic Technologist
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    License Number       |    54033
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    License Number State |    FL
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