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General NPI Number Information
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NPI Number | 1245582246
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Entity Type | Organization
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Legal Business Name | HUMANA CARE MEDICAL CENTER CORP
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 7815 CORAL WAY STE 111
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City | MIAMI
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State | FL
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Zip | 33155-6541
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Country | US
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Telephone | 786-409-2936
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Fax | 786-409-2943
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Provider Business Mailing Address
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Address Line | 7815 CORAL WAY STE 111
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City | MIAMI
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State | FL
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Zip | 33155-6541
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Country | US
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Telephone | 786-409-2936
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Fax | 786-409-2943
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCESCO CABRERA
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Credential | MD
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Telephone | 786-409-2936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | ME 64467
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License Number State | FL
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