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General NPI Number Information
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NPI Number | 1093334492
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Entity Type | Organization
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Legal Business Name | SENTIR MEDICAL CENTER INC. D/B/A/ GOLDEN HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 1493 N.W. 54 STREET
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City | MIAMI
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State | FL
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Zip | 33142
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Country | US
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Telephone | 786-953-6368
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Fax | 786-431-5787
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Provider Business Mailing Address
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Address Line | 1493 N.W. 54 STREET
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City | MIAMI
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State | FL
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Zip | 33142
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Country | US
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Telephone | 786-953-6368
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Fax | 786-431-5787
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Authorized Official
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Title or Position | CEO
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Name | MS. CHELCEA DOMINGUEZ
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Credential |
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Telephone | 786-953-6368
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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