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NPI 1790057503

NPI 1790057503 : BAPTIST HOSPITAL : CUTLER BAY, FL

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General NPI Number Information
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    NPI Number           |    1790057503
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAPTIST HOSPITAL 
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Dates
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    Enumeration Date     |    02/08/2012
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    Last Update Date     |    02/08/2012
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Provider Practice Location Address
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    Address Line         |    22181 SW 92ND PL 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33190-1216
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    Country              |    US
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    Telephone            |    786-256-3969
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22181 SW 92ND PL 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33190-1216
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    Country              |    US
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    Telephone            |    786-256-3969
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF OF CARDIOTHORACIC SURGERY
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    Name                 |    DR. NIBERTO  MORENO 
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    Credential           |    MD
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    Telephone            |    305-439-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    ARNP9180881
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    License Number State |    FL
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