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General NPI Number Information
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NPI Number | 1861576803
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Entity Type | Individual
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Provider Name | PATRICIA CESAR BUSTAMANTE
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 10701 SW 38TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3618
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Country | US
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Telephone | 305-225-5471
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Fax | 305-225-5481
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Provider Business Mailing Address
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Address Line | PO BOX 406153
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City | ATLANTA
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State | GA
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Zip | 30384-1876
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Country | US
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Telephone | 561-478-8770
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Fax | 561-688-8877
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS3784
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License Number State | FL
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