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NPI 1275702003

NPI 1275702003 : GENERAL CARE CENTER INC. : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1275702003
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENERAL CARE CENTER INC. 
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Dates
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    Enumeration Date     |    02/26/2008
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    Last Update Date     |    03/20/2013
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Provider Practice Location Address
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    Address Line         |    9788 SW 24TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33165-7574
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    Country              |    US
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    Telephone            |    305-229-0736
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    Fax                  |    305-229-0735
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Provider Business Mailing Address
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    Address Line         |    9788 SW 24TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33165-7574
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    Country              |    US
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    Telephone            |    305-229-0736
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    Fax                  |    305-229-0735
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. JUAN C PEREZ - ESPINOSA 
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    Credential           |    D.O
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    Telephone            |    305-229-0736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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