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General NPI Number Information
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NPI Number | 1093670952
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Entity Type | Organization
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Legal Business Name | SEA OF CORTES MEDICAL ASSISTANCE
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | CALLE PARSELA 44
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City | CABO SAN LUCAS
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State | BAJA CALIFORNIA SUR
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Zip | 23454
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11661
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-1661
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DENNIS CORTES
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Credential |
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Telephone | 624-259-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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