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General NPI Number Information
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NPI Number | 1962190827
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Entity Type | Individual
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Provider Name | MAURA LUCY ABRAHAM MARIN MD
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Gender | Female
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 21342 W DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33180-1134
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Country | US
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Telephone | 754-707-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 671 NE 193RD ST
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City | MIAMI
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State | FL
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Zip | 33179-3977
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Country | US
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Telephone | 754-707-1330
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | ME178473
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License Number State | FL
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