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General NPI Number Information
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NPI Number | 1083595474
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Entity Type | Organization
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Legal Business Name | CENTURY MEDICAL GROUP PA
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 390 NE 191ST ST STE 17147
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 512-360-0055
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Fax | 855-383-2273
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Provider Business Mailing Address
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Address Line | 390 NE 191ST ST STE 17147
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 512-360-0055
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Fax | 855-383-2273
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Authorized Official
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Title or Position | PRESIDENT
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Name | PIYUSH NAYYAR
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Credential | MD
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Telephone | 512-360-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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