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General NPI Number Information
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NPI Number | 1811248727
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Entity Type | Individual
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Provider Name | ANA M MIRET PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 01/01/2014
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Provider Practice Location Address
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Address Line | 3100 SW 62ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 305-669-6543
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Fax |
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Provider Business Mailing Address
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Address Line | 8360 SW 131ST ST
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City | PINECREST
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State | FL
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Zip | 33156-6656
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Country | US
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Telephone | 305-968-5284
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9106713
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License Number State | FL
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