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General NPI Number Information
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NPI Number | 1124400775
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Entity Type | Organization
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Legal Business Name | VML GROUP SERVICES INC
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 6555 NW 36TH ST SUITE 213
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone | 305-749-3672
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Fax | 305-749-3673
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Provider Business Mailing Address
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Address Line | 6555 NW 36TH ST SUITE 213
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone | 305-749-3672
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Fax | 305-749-3673
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Authorized Official
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Title or Position | OWNER
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Name | VICTOR M RODRIGUEZ
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Credential |
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Telephone | 305-749-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | FL
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