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General NPI Number Information
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NPI Number | 1922682723
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Entity Type | Individual
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Provider Name | MARIA BELEN MEDAL CNM
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Gender | Female
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 8200 SW 117TH AVE STE 304
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City | MIAMI
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State | FL
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Zip | 33183-4826
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Country | US
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Telephone | 305-203-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 12613 SW 224TH ST
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City | MIAMI
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State | FL
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Zip | 33170-6329
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Country | US
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Telephone | 786-201-6660
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN11007912
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License Number State | FL
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