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General NPI Number Information
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NPI Number | 1952343550
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Entity Type | Organization
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Legal Business Name | REISS KANG JAYANETTI PEREDA GALINANES, MD, PA
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 6200 SUNSET DR SUITE 505
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City | MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-668-1660
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Fax | 305-668-1650
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Provider Business Mailing Address
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Address Line | 6200 SUNSET DR SUITE 505
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4805
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Country | US
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Telephone | 305-668-1660
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Fax | 350-668-1650
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Authorized Official
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Title or Position | MD
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Name | STEVEN KANG
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Credential | MD
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Telephone | 305-668-1660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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