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General NPI Number Information
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NPI Number | 1235307554
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Entity Type | Organization
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Legal Business Name | NORTH BEACH RESEARCH INSTITUTE, LLC
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 940 S SHORE DR
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City | MIAMI BEACH
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State | FL
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Zip | 33141-2412
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Country | US
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Telephone | 786-456-6516
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Fax | 305-865-5443
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Provider Business Mailing Address
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Address Line | 940 S SHORE DR
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City | MIAMI BEACH
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State | FL
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Zip | 33141-2412
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Country | US
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Telephone | 786-456-6516
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Fax | 305-865-5443
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Authorized Official
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Title or Position | CLINICAL OPERATIONS MANAGER
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Name | MRS. NULBIA RUEDA CANDIOTTI
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Credential | R.N.
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Telephone | 786-546-6516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | RN1660902
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License Number State | FL
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