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General NPI Number Information
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NPI Number | 1134092422
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Entity Type | Organization
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Legal Business Name | OLAZABAL MEDICAL CENTER LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2603 NW 10TH AVE APT 101
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City | MIAMI
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State | FL
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Zip | 33127-4082
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Country | US
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Telephone | 305-972-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 NW 10TH AVE APT 101
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City | MIAMI
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State | FL
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Zip | 33127-4082
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Country | US
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Telephone | 305-972-8100
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE OFFICE MANAGER
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Name | DANNIELLY OLAZABAL
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Credential |
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Telephone | 305-972-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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