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General NPI Number Information
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NPI Number | 1053617274
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Entity Type | Organization
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Legal Business Name | DIRECT HELPERS MEDICAL CENTER INC
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 5881 NW 151ST ST 115
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2450
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Country | US
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Telephone | 305-828-3555
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Fax | 305-828-3554
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Provider Business Mailing Address
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Address Line | 5881 NW 151ST ST 115
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2450
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Country | US
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Telephone | 305-828-3555
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Fax | 305-828-3554
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Authorized Official
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Title or Position | PRESIDENT
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Name | IDALIS C LOPEZ
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Credential |
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Telephone | 305-828-3555
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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 | HCC9011
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License Number State | FL
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