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General NPI Number Information
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NPI Number | 1275907206
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Entity Type | Organization
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Legal Business Name | KING SPRAY
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Dates
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Enumeration Date | 11/13/2015
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 8601 SW 84TH TER
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City | MIAMI
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State | FL
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Zip | 33143-6923
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Country | US
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Telephone | 305-439-9647
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Fax |
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Provider Business Mailing Address
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Address Line | 8601 SW 84TH TER
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City | MIAMI
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State | FL
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Zip | 33143-6923
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Country | US
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Telephone | 305-439-9647
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUMBERTO ARGUELLES
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Credential |
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Telephone | 305-439-9647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 170950
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License Number State | FL
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