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General NPI Number Information
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NPI Number | 1154348811
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Entity Type | Organization
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Legal Business Name | NEW GENERATION MEDICAL CENTER INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 326 SW 12TH AVE STE A
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City | MIAMI
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State | FL
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Zip | 33130-2012
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Country | US
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Telephone | 305-545-8913
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Fax | 305-642-7733
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Provider Business Mailing Address
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Address Line | 326 SW 12TH AVE STE A
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City | MIAMI
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State | FL
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Zip | 33130-2012
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Country | US
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Telephone | 305-545-8913
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Fax | 305-642-7733
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE LUIS HUERRES
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Credential |
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Telephone | 305-545-8913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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