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General NPI Number Information
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NPI Number | 1285091660
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Entity Type | Organization
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Legal Business Name | NEW WORD MEDICAL CENTER CORP
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 6955 NW 77TH AVE STE 402
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City | MIAMI
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State | FL
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Zip | 33166-2844
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Country | US
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Telephone | 305-680-5072
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Fax | 305-647-2904
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Provider Business Mailing Address
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Address Line | 6955 NW 77TH AVE STE 402
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City | MIAMI
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State | FL
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Zip | 33166-2844
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Country | US
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Telephone | 305-680-5072
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Fax | 305-647-2904
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Authorized Official
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Title or Position | OWNER
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Name | MAYRA DE ZENO
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Credential |
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Telephone | 305-680-5072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 0062905
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License Number State | FL
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