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General NPI Number Information
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NPI Number | 1952549149
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Entity Type | Organization
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Legal Business Name | HUMBERTO G JUNCO M D P A
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 7000 SW 97TH AVE 115
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City | MIAMI
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State | FL
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Zip | 33173-1494
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Country | US
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Telephone | 305-273-0228
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Fax | 305-273-5488
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Provider Business Mailing Address
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Address Line | 7000 SW 97TH AVE 115
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City | MIAMI
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State | FL
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Zip | 33173-1494
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Country | US
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Telephone | 305-273-0228
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Fax | 305-273-5488
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUMBERTO G JUNCO
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Credential | M.D,P.A
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Telephone | 305-273-0228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 27473
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License Number State | FL
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