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General NPI Number Information
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NPI Number | 1295490944
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Entity Type | Organization
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Legal Business Name | SUNMED INTERNATIONAL, LLC
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Dates
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Enumeration Date | 11/07/2021
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Last Update Date | 11/07/2021
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Provider Practice Location Address
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Address Line | 1987 NW 88TH CT STE 101-102
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City | DORAL
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State | FL
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Zip | 33172-2699
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Country | US
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Telephone | 786-888-6792
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Fax | 786-888-6739
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Provider Business Mailing Address
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Address Line | 1987 NW 88TH CT STE 101-102
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City | DORAL
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State | FL
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Zip | 33172-2699
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Country | US
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Telephone | 786-888-6792
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Fax | 786-888-6739
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Authorized Official
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Title or Position | PRESIDENT
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Name | KINYI HABER
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Credential |
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Telephone | 786-281-9485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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