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General NPI Number Information
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NPI Number | 1891257119
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Entity Type | Individual
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Provider Name | CLAUDIA L GORDILLO
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 20900 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33180-1407
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Country | US
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Telephone | 305-682-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 14610 SW 176TH TER
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City | MIAMI
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State | FL
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Zip | 33177-7688
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Country | US
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Telephone | 786-218-2235
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS20985
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License Number State | FL
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