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General NPI Number Information
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NPI Number | 1053596965
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH DIAGNOSTIC & NUCLEAR SOLUTIONS INC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 3970 W FLAGLER ST SUITE 101
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City | CORAL GABLES
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State | FL
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Zip | 33134-1642
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Country | US
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Telephone | 305-442-3377
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Fax | 305-442-1826
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Provider Business Mailing Address
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Address Line | 3970 W FLAGLER ST SUITE 101
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City | CORAL GABLES
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State | FL
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Zip | 33134-1642
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Country | US
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Telephone | 305-442-3377
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Fax | 305-442-1826
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALEJANDRO FARIAS
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Credential |
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Telephone | 305-442-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC7947
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License Number State | FL
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