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General NPI Number Information
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NPI Number | 1144496423
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Entity Type | Organization
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Legal Business Name | JML PHYSICIAN GROUP
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 6262 SW 40TH ST SUITE 2E
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City | MIAMI
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State | FL
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Zip | 33155-4882
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Country | US
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Telephone | 305-669-9689
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Fax |
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Provider Business Mailing Address
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Address Line | 6262 SW 40TH ST SUITE 2E
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City | MIAMI
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State | FL
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Zip | 33155-4882
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Country | US
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Telephone | 305-669-9689
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HECTOR LABRADA
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Credential | MD
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Telephone | 305-669-9689
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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 | ME68564
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License Number State | FL
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