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General NPI Number Information
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NPI Number | 1134388606
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Entity Type | Organization
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Legal Business Name | MEDLANDS PA INC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 15830 SW 252ND ST
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City | HOMESTEAD
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State | FL
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Zip | 33031-2018
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Country | US
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Telephone | 305-283-7956
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Fax |
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Provider Business Mailing Address
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Address Line | 15830 SW 252ND ST
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City | HOMESTEAD
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State | FL
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Zip | 33031-2018
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Country | US
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Telephone | 305-283-7956
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YURI O ALVAREZ
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Credential |
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Telephone | 305-283-7956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number |
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License Number State |
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