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General NPI Number Information
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NPI Number | 1972183028
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Entity Type | Individual
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Provider Name | ROBERTO CAO III MS, LAT, ATC, NREMT
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Gender | Male
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 5821 SAN AMARO DR
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City | CORAL GABLES
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State | FL
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Zip | 33146-2402
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Country | US
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Telephone | 305-331-2215
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Fax |
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Provider Business Mailing Address
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Address Line | 8217 SW 72ND AVE APT 1309
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City | MIAMI
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State | FL
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Zip | 33143-7993
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Country | US
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Telephone | 305-331-2215
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT004341
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT2178
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL7453
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License Number State | FL
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