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General NPI Number Information
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NPI Number | 1225497886
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Entity Type | Organization
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Legal Business Name | EMC SOUTH FLORIDA, LLC
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 6075 SW 72ND ST SUITE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5000
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Country | US
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Telephone | 786-577-9362
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Fax | 786-701-0606
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Provider Business Mailing Address
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Address Line | 6075 SW 72ND ST SUITE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5000
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Country | US
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Telephone | 786-577-9362
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Fax | 786-701-0606
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LISETH ARAYA
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Credential |
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Telephone | 786-352-9327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | ME124453
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License Number State | FL
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