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General NPI Number Information
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NPI Number | 1275697377
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Entity Type | Organization
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Legal Business Name | ALL DADE MEDICAL SERVICES
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 8900 CORAL WAY # 208
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City | MIAMI
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State | FL
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Zip | 33155
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Country | US
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Telephone | 305-553-4595
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Fax | 305-553-4596
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Provider Business Mailing Address
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Address Line | 8900 CORAL WAY # 208
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City | MIAMI
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State | FL
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Zip | 33155
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Country | US
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Telephone | 305-553-4595
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Fax | 305-553-4596
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Authorized Official
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Title or Position | OWNER
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Name | ORQUIDEA SANTOS
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Credential |
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Telephone | 305-553-4595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number | HCC6007
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License Number State | FL
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