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General NPI Number Information
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NPI Number | 1053370221
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MIAMI
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 NW 10TH AVE 10TH FLOOR
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City | MIAMI
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State | FL
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Zip | 33136-1000
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Country | US
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Telephone | 305-243-5832
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Fax | 305-243-2152
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Provider Business Mailing Address
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Address Line | 1400 NW 10TH AVE 10TH FLOOR
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City | MIAMI
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State | FL
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Zip | 33136-1000
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Country | US
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Telephone | 305-243-5832
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Fax | 305-243-2152
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Authorized Official
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Title or Position | OB/GYN RESEARCH DIRECTOR
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Name | MRS. JONELL POTTER
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Credential | ARNP PHD
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Telephone | 305-243-2173
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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 | 1704612
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License Number State | FL
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