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General NPI Number Information
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NPI Number | 1851355895
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Entity Type | Individual
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Provider Name | NELSON GARCIA MORALES MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 9951 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3989
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Country | US
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Telephone | 305-552-5350
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Fax | 305-220-5602
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Provider Business Mailing Address
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Address Line | 9951 BIRD ROAD
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 305-552-5350
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Fax | 305-220-5602
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0025072
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License Number State | FL
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