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General NPI Number Information
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NPI Number | 1841285830
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Entity Type | Individual
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Provider Name | RAMON MALDONADO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 45 NE 9TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33030-4611
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Country | US
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Telephone | 305-247-9560
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Fax | 305-247-9561
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Provider Business Mailing Address
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Address Line | 45 NE 9TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33030-4611
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Country | US
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Telephone | 305-247-9560
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Fax | 305-247-9561
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME64041
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 5719274
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License Number State | FL
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