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General NPI Number Information
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NPI Number | 1932414968
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Entity Type | Individual
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Provider Name | CESAR ALBERTO LLANOS M.D
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Gender | Male
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Dates
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Enumeration Date | 08/14/2010
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 858-349-3853
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 SW 4TH AVE
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City | MIAMI
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State | FL
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Zip | 33129-1001
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Country | US
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Telephone | 858-349-3853
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 13993
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 116630
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME116630
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License Number State | FL
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