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General NPI Number Information
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NPI Number | 1225502966
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Entity Type | Organization
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Legal Business Name | OBGYN HEALTH LLC
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 6705 S RED RD STE 612
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 888-624-3429
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Fax |
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Provider Business Mailing Address
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Address Line | 5927 SW 70TH ST UNIT 430256
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3527
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Country | US
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Telephone | 786-223-6383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDIO DIAZ-SOCARRAS
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Credential | MD
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Telephone | 786-223-6383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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