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General NPI Number Information
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NPI Number | 1912392580
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Entity Type | Organization
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Legal Business Name | OBGYN COMPREHENSIVE CARE, P.A.
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 6701 SUNSET DR STE 109
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4529
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Country | US
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Telephone | 305-763-8768
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Fax | 877-792-5138
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Provider Business Mailing Address
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Address Line | 6701 SUNSET DR STE 109
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4529
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Country | US
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Telephone | 305-762-8768
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Fax | 877-792-5138
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NATALYA MEDRANO
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Credential | M.D.
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Telephone | 305-812-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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