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General NPI Number Information
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NPI Number | 1295378271
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH SERVICES, INC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 15315 NW 60TH AVE STE E
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2440
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Country | US
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Telephone | 786-277-1307
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 565937
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City | MIAMI
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State | FL
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Zip | 33256-5937
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Country | US
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Telephone | 786-277-1307
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MR. PLINIO GONZALEZ
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Credential |
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Telephone | 786-277-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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