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General NPI Number Information
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NPI Number | 1235757899
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Entity Type | Organization
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Legal Business Name | MIAMI HEADACHE CENTER, PLLC
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 2550 S DOUGLAS RD STE 301
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City | CORAL GABLES
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State | FL
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Zip | 33134-6104
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Country | US
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Telephone | 305-588-7170
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 S DOUGLAS RD # 301
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City | CORAL GABLES
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State | FL
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Zip | 33134-6104
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Country | US
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Telephone | 305-588-7170
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Fax | 305-640-5261
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS ESCASENA
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Credential | MD
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Telephone | 787-360-2675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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