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General NPI Number Information
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NPI Number | 1023369188
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Entity Type | Organization
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Legal Business Name | NW COMMUNITY MEDICAL CENTER
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 09/28/2012
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Provider Practice Location Address
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Address Line | 6401 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33147-7734
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Country | US
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Telephone | 305-397-7230
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Fax | 305-448-8570
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Provider Business Mailing Address
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Address Line | 5040 NW 7TH ST SUITE 300
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City | MIAMI
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State | FL
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Zip | 33126-3422
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Country | US
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Telephone | 305-397-7230
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Fax | 305-448-8570
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ROXANA VALETON
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Credential | M.T.
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Telephone | 786-693-0619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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