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General NPI Number Information
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NPI Number | 1952566432
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Entity Type | Organization
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Legal Business Name | BERNARDO PASCUAL M D P A
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 17670 NW 78TH AVE STE 211
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City | HIALEAH
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State | FL
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Zip | 33015-3670
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Country | US
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Telephone | 305-822-2818
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Fax | 305-827-4815
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Provider Business Mailing Address
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Address Line | 17670 NW 78TH AVE STE 211
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City | HIALEAH
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State | FL
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Zip | 33015-3670
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Country | US
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Telephone | 305-822-2818
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Fax | 305-827-4815
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. BERNARDO PASCUAL
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Credential | M D P A
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Telephone | 305-822-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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