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General NPI Number Information
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NPI Number | 1205516721
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Entity Type | Organization
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Legal Business Name | GML MEDICAL SERVICES CORP
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 8494 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4153
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Country | US
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Telephone | 305-846-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 2663 W 69TH TER
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City | HIALEAH
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State | FL
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Zip | 33016-5486
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Country | US
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Telephone | 786-564-4791
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GISNY D MARTIN LOPEZ
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Credential | NP
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Telephone | 786-564-4791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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