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General NPI Number Information
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NPI Number | 1134402001
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Entity Type | Organization
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Legal Business Name | CIMEX HEALTH CENTER GROUP CORP
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 3383 NW 7TH ST SUITE 108
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City | MIAMI
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State | FL
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Zip | 33125-4140
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Country | US
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Telephone | 786-401-7857
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Fax | 786-401-7858
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Provider Business Mailing Address
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Address Line | 3383 NW 7TH ST SUITE 108
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City | MIAMI
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State | FL
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Zip | 33125-4140
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Country | US
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Telephone | 786-401-7857
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Fax | 786-401-7858
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | AGUSTIN DE CARDENAS
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Credential |
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Telephone | 786-401-7857
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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 | MA 37781
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License Number State | FL
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