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General NPI Number Information
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NPI Number | 1245583384
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Entity Type | Organization
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Legal Business Name | M R MEDICAL CENTER, INC
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 8260 W FLAGLER ST SUITE 2G
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City | MIAMI
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State | FL
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Zip | 33144-2069
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Country | US
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Telephone | 305-608-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 8260 W FLAGLER ST SUITE 2G
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City | MIAMI
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State | FL
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Zip | 33144-2069
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Country | US
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Telephone | 305-608-4616
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANA ROSA HUMARAN
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Credential | LMT
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Telephone | 305-608-4616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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