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General NPI Number Information
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NPI Number | 1912960824
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Entity Type | Organization
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Legal Business Name | NIVEA R RIBAS M D P A
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 5801 NW 151ST ST STE 206
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2437
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Country | US
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Telephone | 305-826-3931
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Fax | 305-826-5102
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Provider Business Mailing Address
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Address Line | 5801 NW 151ST ST STE 206
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2437
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Country | US
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Telephone | 305-826-3931
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Fax | 305-826-5102
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Authorized Official
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Title or Position | M D P A
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Name | NIVEA R RIBAS
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Credential |
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Telephone | 305-826-3931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0064461
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License Number State | FL
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