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General NPI Number Information
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NPI Number | 1023538089
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Entity Type | Organization
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Legal Business Name | SOUTH MIAMI SPINE AND JOINT LLC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4716
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Country | US
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Telephone | 305-595-1095
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Fax | 305-271-1855
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Provider Business Mailing Address
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Address Line | 7000 SW 62ND AVE STE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4716
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Country | US
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Telephone | 305-595-1095
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Fax | 305-271-1855
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CINDI PASCO
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Credential |
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Telephone | 305-726-6809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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