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General NPI Number Information
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NPI Number | 1134413990
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Entity Type | Organization
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Legal Business Name | CENTER FOR HAITIAN STUDIES WOMEN AND FAMILY CENTER, LLC.
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 8260 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33138-3808
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Country | US
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Telephone | 305-757-9555
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Fax | 305-754-3265
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Provider Business Mailing Address
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Address Line | 8260 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33138-3808
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Country | US
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Telephone | 305-757-9555
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Fax | 305-754-3265
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. EDY AMISIAL
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Credential | M.D.
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Telephone | 305-757-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME108552
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License Number State | FL
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