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General NPI Number Information
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NPI Number | 1265205686
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Entity Type | Organization
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Legal Business Name | A&B COMMUNITY MEDICAL CENTER,LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 772 NW 72ND AVE SUITE 1053
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 786-907-4557
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Fax | 786-907-4558
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Provider Business Mailing Address
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Address Line | 777 NW 72ND AVE STE 1053
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City | MIAMI
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State | FL
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Zip | 33126-3173
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Country | US
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Telephone | 786-907-4557
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Fax | 786-907-4558
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Authorized Official
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Title or Position | OWNER
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Name | YUSVONY ZAYAS BUZON BORROTO
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Credential |
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Telephone | 786-768-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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