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General NPI Number Information
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NPI Number | 1851302251
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Entity Type | Organization
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Legal Business Name | OSMIN A MORALES M D P A
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 7001 SW 61ST AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3420
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Country | US
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Telephone | 305-663-3014
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Fax | 305-661-2959
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Provider Business Mailing Address
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Address Line | PO BOX 558427
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City | MIAMI
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State | FL
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Zip | 33255-8427
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Country | US
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Telephone | 305-663-3014
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Fax | 305-661-2959
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Authorized Official
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Title or Position | OWNER
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Name | OSMIN A MORALES
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Credential | MD
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Telephone | 305-663-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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