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General NPI Number Information
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NPI Number | 1790108009
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Entity Type | Organization
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Legal Business Name | IVAN RAPADO VIERA MD PA
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 300
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4719
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Country | US
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Telephone | 305-776-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 SW 62ND AVE STE 300
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4719
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Country | US
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Telephone | 305-776-3209
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IVAN RAPADO VIERA
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Credential | MD
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Telephone | 305-776-3209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN433
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License Number State | FL
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