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General NPI Number Information
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NPI Number | 1013082346
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Entity Type | Organization
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Legal Business Name | JC HEALTH INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 8768 SW 8TH ST SUITE # 10
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City | MIAMI
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State | FL
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Zip | 33174-3201
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Country | US
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Telephone | 305-223-2797
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Fax | 305-223-2798
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Provider Business Mailing Address
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Address Line | 8768 SW 8TH ST SUITE # 10
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City | MIAMI
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State | FL
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Zip | 33174-3201
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Country | US
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Telephone | 305-223-2797
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Fax | 305-223-2798
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERNESTO L. HERNANDEZ
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Credential |
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Telephone | 305-223-2797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | HCC7360
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License Number State | FL
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