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General NPI Number Information
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NPI Number | 1104647288
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Entity Type | Organization
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Legal Business Name | CENTER FOR WOMENS WELLNESS CORP
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 8501 SW 124TH AVE STE 211
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City | MIAMI
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State | FL
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Zip | 33183-4633
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Country | US
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Telephone | 305-595-6488
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Fax | 305-595-3532
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Provider Business Mailing Address
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Address Line | 20940 SW 132ND AVE
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City | MIAMI
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State | FL
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Zip | 33177-6228
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Country | US
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Telephone | 786-414-6133
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Fax | 305-595-3532
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Authorized Official
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Title or Position | OWNER/CEO
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Name | YESIKA VILLAFANA
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Credential |
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Telephone | 786-432-9111
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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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