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General NPI Number Information
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NPI Number | 1932476389
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Entity Type | Organization
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Legal Business Name | THOMAS R. UGARTE, M.D., P.A.
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 900 W 49TH ST SUITE 300
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City | HIALEAH
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State | FL
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Zip | 33012-3402
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Country | US
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Telephone | 305-823-6525
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Fax | 305-823-6527
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Provider Business Mailing Address
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Address Line | 900 W 49TH ST SUITE 300
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City | HIALEAH
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State | FL
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Zip | 33012-3402
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Country | US
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Telephone | 305-823-6525
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Fax | 305-823-6527
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS R UGARTE
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Credential | M.D.
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Telephone | 305-823-6525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME23921
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License Number State | FL
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