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General NPI Number Information
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NPI Number | 1932398203
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Entity Type | Individual
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Provider Name | FELIPE DE LOS RIOS LA ROSA MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR STE 410W
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City | MIAMI
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State | FL
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Zip | 33176-2127
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Country | US
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Telephone | 786-596-3876
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Fax | 786-533-9989
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Provider Business Mailing Address
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Address Line | PO BOX 198054
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City | ATLANTA
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State | GA
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Zip | 30384-8054
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35-096340
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | MD2014-0887
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | ME126549
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME126549
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License Number State | FL
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