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General NPI Number Information
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NPI Number | 1104857119
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Entity Type | Organization
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Legal Business Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 160 NW 170TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5521
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Country | US
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Telephone | 305-585-8957
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Fax | 305-585-5259
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Provider Business Mailing Address
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Address Line | PO BOX 12493
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City | MIAMI
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State | FL
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Zip | 33101-2493
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Country | US
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Telephone | 786-466-8080
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Fax | 305-355-2377
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Authorized Official
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Title or Position | EXEC. VP, CHIEF FINANCIAL OFFICER
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Name | MR. MARK T KNIGHT
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Credential |
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Telephone | 305-585-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 3998
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License Number State | FL
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