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General NPI Number Information
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NPI Number | 1851798953
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Entity Type | Organization
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Legal Business Name | MY DOCTOR'S PEDIATRICS
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 9000 SW 137TH AVE STE 204
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City | MIAMI
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State | FL
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Zip | 33186-1436
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Country | US
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Telephone | 305-383-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 SW 137TH AVE STE 204
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City | MIAMI
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State | FL
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Zip | 33186-1436
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Country | US
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Telephone | 305-383-1902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAURA CINTAS
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Credential | MD
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Telephone | 305-383-1902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | ARNP9367163
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License Number State | FL
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