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General NPI Number Information
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NPI Number | 1144870049
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Entity Type | Organization
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Legal Business Name | HIALEAH ACCIDENT CENTER, INC.
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 777 E 25TH ST STE 306
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City | HIALEAH
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State | FL
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Zip | 33013-3849
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Country | US
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Telephone | 786-502-4945
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Fax | 786-558-7451
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Provider Business Mailing Address
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Address Line | 777 E 25TH ST STE 306
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City | HIALEAH
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State | FL
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Zip | 33013-3849
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Country | US
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Telephone | 786-502-4945
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Fax | 786-558-7451
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Authorized Official
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Title or Position | PDST
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Name | DR. DEAN ZUSMER
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Credential | DC
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Telephone | 786-502-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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