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General NPI Number Information
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NPI Number | 1811223860
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Entity Type | Individual
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Provider Name | LUIS ARMANDO REYES
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Gender | Male
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 8515 SW 152ND AVE 284
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City | MIAMI
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State | FL
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Zip | 33193-4101
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Country | US
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Telephone | 786-553-2443
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Fax | 786-372-8775
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Provider Business Mailing Address
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Address Line | 8515 SW 152ND AVE 284
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City | MIAMI
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State | FL
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Zip | 33193-4101
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Country | US
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Telephone | 786-553-2443
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Fax | 786-372-8775
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | R200-521-79-094-0
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License Number State | FL
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