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General NPI Number Information
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NPI Number | 1184863151
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE URGENT CARE INC.
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 671 NW 119TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33168-2522
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Country | US
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Telephone | 305-688-0188
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Fax | 305-687-5831
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Provider Business Mailing Address
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Address Line | 671 NW 119TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33168-2522
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Country | US
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Telephone | 305-688-0811
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Fax | 305-687-5831
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Authorized Official
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Title or Position | CEO
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Name | DR. RUDOLPH GUY MOISE
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Credential | D.O.
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Telephone | 305-688-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 0S4440
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License Number State | FL
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