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General NPI Number Information
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NPI Number | 1801034020
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Entity Type | Individual
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Provider Name | PALOMA GAELLE PINA M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 209 NE 95TH ST STE 4
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2745
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Country | US
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Telephone | 305-399-7485
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Fax | 866-947-2942
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Provider Business Mailing Address
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Address Line | 209 NE 95TH ST STE 4
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2745
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Country | US
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Telephone | 305-399-7485
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Fax | 786-206-8612
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 1068
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | ME141485
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License Number State | FL
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