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General NPI Number Information
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NPI Number | 1871800664
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Entity Type | Individual
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Provider Name | JULIAN DIAVANTI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1840 W 49TH ST STE 404
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City | HIALEAH
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State | FL
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Zip | 33012-2978
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Country | US
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Telephone | 305-828-9980
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Fax | 786-507-4734
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Provider Business Mailing Address
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Address Line | 1840 W 49TH ST STE 404
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City | HIALEAH
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State | FL
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Zip | 33012-2978
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Country | US
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Telephone | 786-303-1367
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Fax |
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME108115
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME108115
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | ME108115
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME108115
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License Number State | FL
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