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General NPI Number Information
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NPI Number | 1144460759
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Entity Type | Organization
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Legal Business Name | GLOBAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 10454 NW 31ST TER
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City | DORAL
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State | FL
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Zip | 33172-1200
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Country | US
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Telephone | 786-334-8033
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Fax | 786-999-8349
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Provider Business Mailing Address
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Address Line | 10454 NW 31ST TER
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City | DORAL
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State | FL
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Zip | 33172-1200
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Country | US
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Telephone | 786-334-8033
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Fax | 786-999-8349
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Authorized Official
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Title or Position | VP
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Name | MRS. TERESA B ALFONSO
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Credential | M.D
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Telephone | 786-331-8033
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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 | ME-87045
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License Number State | FL
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