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General NPI Number Information
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NPI Number | 1124814496
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Entity Type | Organization
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Legal Business Name | MLK RESEARCH INSTITUTE, INC.
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 6120 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33127-1112
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Country | US
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Telephone | 786-586-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 6120 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33127-1112
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Country | US
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Telephone | 786-586-0332
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | JORGE A GARCIA
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Credential |
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Telephone | 305-606-0337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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