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General NPI Number Information
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NPI Number | 1235410937
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Entity Type | Organization
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Legal Business Name | ELITE DIALYSIS OF MIAMI BEACH, LLC
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 714 WEST 51 ST.
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City | MIAMI BEACH
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State | FL
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Zip | 33140
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Country | US
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Telephone | 786-304-2100
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Fax | 786-304-2101
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Provider Business Mailing Address
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Address Line | 714 W 51ST ST
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2615
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Country | US
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Telephone | 786-304-2100
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Fax | 786-304-2101
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE ANGEL ALARCON
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Credential |
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Telephone | 786-304-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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