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General NPI Number Information
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NPI Number | 1063879443
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Entity Type | Organization
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Legal Business Name | SPECIALTY TELEHEALTH SOLUTIONS, L.L.C.
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 8323 NW 12TH ST #115
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City | DORAL
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State | FL
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Zip | 33126-1829
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Country | US
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Telephone | 756-414-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 8323 NW 12TH STREET #115
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 756-414-2505
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Fax |
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Authorized Official
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Title or Position | IN HOUSE COUNSEL
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Name | MS. JENNIFER H. DOMINGUEZ
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Credential | ESQ.
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Telephone | 786-414-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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