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General NPI Number Information
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NPI Number | 1902927163
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Entity Type | Individual
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Provider Name | ABRAHAM CONDARCO-PELAEZ
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 1260 LENOX AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3806
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Country | US
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Telephone | 305-229-5843
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Fax | 308-822-1269
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Provider Business Mailing Address
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Address Line | 1260 LENOX AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3806
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Country | US
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Telephone | 305-229-5843
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Fax | 308-822-1269
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME0034273
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License Number State | FL
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