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General NPI Number Information
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NPI Number | 1013868280
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Entity Type | Organization
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Legal Business Name | PRIMARY PREVENTION, LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 21097 NE 27TH CT
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City | AVENTURA
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State | FL
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Zip | 33180-1204
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Country | US
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Telephone | 305-467-4394
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Fax |
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Provider Business Mailing Address
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Address Line | 21097 NE 27TH CT STE 110
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City | AVENTURA
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State | FL
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Zip | 33180-1206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO / MANAGING MEMBER
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Name | AMICHAY PORGES
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Credential |
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Telephone | 305-467-4394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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