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General NPI Number Information
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NPI Number | 1881199511
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Entity Type | Individual
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Provider Name | ROSIO COROMOTO ORTEGA ARAUJO CSA
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 3663 S MIAMI AVE
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City | MIAMI
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State | FL
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Zip | 33133-4253
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Country | US
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Telephone | 305-854-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 8215 SW 152ND AVE APT 418
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City | MIAMI
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State | FL
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Zip | 33193-4063
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Country | US
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Telephone | 786-991-7780
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Fax | 786-991-7780
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 18-375
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW348
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License Number State | FL
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