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General NPI Number Information
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NPI Number | 1275197766
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MIAMI
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 9675 NW 117TH AVE STE 310
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City | MEDLEY
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State | FL
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Zip | 33178-1232
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Country | US
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Telephone | 305-689-8479
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Fax | 305-689-7984
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Provider Business Mailing Address
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Address Line | 9675 NW 117TH AVE STE 310
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City | MEDLEY
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State | FL
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Zip | 33178-1232
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Country | US
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Telephone | 305-689-8479
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Fax | 305-689-7984
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT MANAGER
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Name | CESIA A SANCHEZ
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Credential |
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Telephone | 305-243-6837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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