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General NPI Number Information
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NPI Number | 1134136724
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Entity Type | Organization
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Legal Business Name | PS MEDICAL CENTER
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12991 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4809
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Country | US
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Telephone | 305-892-3383
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Fax |
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Provider Business Mailing Address
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Address Line | 12991 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4809
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Country | US
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Telephone | 305-892-3383
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA L SERIAL BIONDI
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Credential |
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Telephone | 786-260-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | HCC 7280
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License Number State | FL
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