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General NPI Number Information
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NPI Number | 1134535453
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Entity Type | Organization
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Legal Business Name | FELIX VARELA MEDICAL CLINIC, INC
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 3335 W 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4360
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Country | US
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Telephone | 305-263-0922
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Fax |
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Provider Business Mailing Address
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Address Line | 3335 W 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4360
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Country | US
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Telephone | 305-263-0922
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS F FELIPE
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Credential | MD
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Telephone | 305-299-8375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME98893
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License Number State | FL
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