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General NPI Number Information
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NPI Number | 1285027615
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Entity Type | Organization
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Legal Business Name | CORINTIOS MEDICAL HEALTH CENTER CORP
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 330 SW 27TH AVE STE 703
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City | MIAMI
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State | FL
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Zip | 33135-2968
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Country | US
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Telephone | 786-406-4291
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Fax | 786-615-9815
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Provider Business Mailing Address
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Address Line | 330 SW 27TH AVE STE 703
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City | MIAMI
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State | FL
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Zip | 33135-2968
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Country | US
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Telephone | 786-406-4291
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Fax | 786-615-9815
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLARIBEL BACALLAO
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Credential |
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Telephone | 786-615-9215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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