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General NPI Number Information
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NPI Number | 1962863266
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Entity Type | Individual
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Provider Name | ANNEYD M AVALOS PENA MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 8880 NW 20TH ST
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City | DORAL
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State | FL
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Zip | 33172-2636
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Country | US
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Telephone | 786-925-3143
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Fax |
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Provider Business Mailing Address
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Address Line | 9803 SW 134TH PL
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City | MIAMI
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State | FL
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Zip | 33186-2265
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Country | US
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Telephone | 786-925-3143
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN20593
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME132628
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License Number State | FL
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