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General NPI Number Information
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NPI Number | 1295508752
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Entity Type | Organization
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Legal Business Name | PREVENTIVE CARE, P.A.
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 25 SW 9TH ST # 101
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City | MIAMI
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State | FL
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Zip | 33130-3891
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Country | US
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Telephone | 559-977-7591
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Fax |
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Provider Business Mailing Address
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Address Line | 25 SW 9TH ST # 101
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City | MIAMI
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State | FL
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Zip | 33130-3891
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JONATHAN RICHINA
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Credential | MD
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Telephone | 559-977-7591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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