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NPI 1104071190

NPI 1104071190 : CHF MEDICAL ASSOCIATES LLP : HOMESTEAD, FL

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General NPI Number Information
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    NPI Number           |    1104071190
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHF MEDICAL ASSOCIATES LLP 
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Dates
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    Enumeration Date     |    11/18/2008
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    Last Update Date     |    02/18/2009
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Provider Practice Location Address
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    Address Line         |    975 BAPTIST WAY 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33033-7600
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    Country              |    US
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    Telephone            |    786-243-8073
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 669053 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33166-9426
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    Country              |    US
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    Telephone            |    786-243-8073
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |    DR. ABELARDO  CORONA 
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    Credential           |    M.D.
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    Telephone            |    786-243-8073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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