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General NPI Number Information
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NPI Number | 1104072602
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Entity Type | Organization
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Legal Business Name | MIAMI CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 17615 SW 97TH AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5636
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Country | US
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Telephone | 786-268-2611
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Fax | 786-268-1748
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Provider Business Mailing Address
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Address Line | 17615 SW 97TH AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5636
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Country | US
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Telephone | 786-268-2611
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Fax | 786-268-1748
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Authorized Official
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Title or Position | CFO
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Name | MR. PEDRO ALFARO
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Credential |
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Telephone | 305-666-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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