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General NPI Number Information
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NPI Number | 1790715688
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Entity Type | Organization
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Legal Business Name | RAFAEL A PALMEROLA MD P A
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 7875 SW 66TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-2712
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Country | US
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Telephone | 786-326-8608
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Fax |
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Provider Business Mailing Address
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Address Line | 7875 SW 66TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-2712
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Country | US
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Telephone | 786-326-8608
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | EILEEN SUAREZ
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Credential |
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Telephone | 786-843-9059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME67254
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License Number State | FL
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