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Individual
AVENIR MULITA
Active
Individual
AVENIR MULITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251745
MA
208M00000X
Hospitalist Physician
D0079576
MD
208M00000X
Hospitalist Physician
Primary
D79576
MD
Other
Enumeration date
07/25/2012
Last updated
07/27/2017
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