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General NPI Number Information
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NPI Number | 1225467145
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Entity Type | Organization
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Legal Business Name | ESPERANZA ARCE MEDICAL CENTER
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 7100 W 20TH AVE SUITE 412-A
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City | HIALEAH
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State | FL
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Zip | 33016-1897
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Country | US
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Telephone | 305-819-6353
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 W 20TH AVE SUITE 412-A
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City | HIALEAH
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State | FL
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Zip | 33016-1897
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Country | US
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Telephone | 305-819-6353
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ESPERANZA ARCE NUNEZ
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Credential | MD
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Telephone | 305-819-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME47219
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License Number State | FL
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