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General NPI Number Information
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NPI Number | 1205707478
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Entity Type | Organization
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Legal Business Name | PROJECT ACCESS FOUNDATION INC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 7480 FAIRWAY DR STE 108
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6879
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Country | US
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Telephone | 786-323-7131
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Fax | 305-907-8788
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Provider Business Mailing Address
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Address Line | 1435 W 49TH PL STE 503
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City | HIALEAH
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State | FL
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Zip | 33012-3158
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Country | US
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Telephone | 305-787-3267
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Fax | 786-953-5323
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Authorized Official
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Title or Position | DIRECTOR OF VALUE CARE
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Name | DAVID ADAN
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Credential |
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Telephone | 305-787-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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