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General NPI Number Information
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NPI Number | 1063810372
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Entity Type | Organization
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Legal Business Name | DR. JALAL TASLIMI MEDICAL CENTER
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 3940 W FLAGLER ST STE 202
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City | CORAL GABLES
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State | FL
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Zip | 33134-1613
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Country | US
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Telephone | 305-447-1740
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Fax | 304-447-1748
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Provider Business Mailing Address
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Address Line | 3940 W FLAGLER ST STE 202
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City | CORAL GABLES
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State | FL
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Zip | 33134-1613
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Country | US
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Telephone | 305-447-1740
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Fax | 304-447-1748
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JALAL TASLIMI
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Credential | M.D
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Telephone | 305-447-1740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ACN435
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License Number State | FL
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