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NPI 1174009146

NPI 1174009146 : HEALTHCARE MANAGEMENT RESOURCES, LLC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1174009146
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHCARE MANAGEMENT RESOURCES, LLC 
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Dates
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    Enumeration Date     |    07/12/2018
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    Last Update Date     |    07/12/2018
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Provider Practice Location Address
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    Address Line         |    1581 BRICKELL AVENUE SUITE T-206
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33129-1221
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    Country              |    US
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    Telephone            |    305-608-2800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1581 BRICKELL AVENUE SUITE T-206
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33129-1221
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    Country              |    US
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    Telephone            |    305-608-2800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ MANAGING MEMBER
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    Name                 |    MR. STEPHEN E CIANCIULLI 
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    Credential           |    
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    Telephone            |    305-608-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0206X
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    Taxonomy Name        |    Mammography Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2085U0001X
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    Taxonomy Name        |    Diagnostic Ultrasound Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2085B0100X
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    Taxonomy Name        |    Body Imaging Physician
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    License Number       |    
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    License Number State |    
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