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General NPI Number Information
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NPI Number | 1285693218
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Entity Type | Organization
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Legal Business Name | URGENT FAMILY HEALTHCARE INC
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 5673 SW 137 AVE
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City | MIAMI
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State | FL
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Zip | 33183-1101
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Country | US
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Telephone | 305-387-0350
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Fax | 305-387-0155
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Provider Business Mailing Address
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Address Line | 5673 SW 137 AVE
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City | MIAMI
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State | FL
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Zip | 33183-1101
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Country | US
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Telephone | 305-387-0350
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Fax | 305-387-0155
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. ARLES PERDOMO
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Credential | MD
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Telephone | 305-387-0350
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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 | ME87444
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME87444
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License Number State | FL
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