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General NPI Number Information
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NPI Number | 1306822440
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Entity Type | Organization
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Legal Business Name | NOVALES MEDICAL CENTER INC
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 470 NW 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33125-3352
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Country | US
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Telephone | 305-643-4684
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Fax | 305-643-4680
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Provider Business Mailing Address
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Address Line | 470 NW 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33125-3352
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Country | US
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Telephone | 305-643-4684
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Fax | 305-643-4680
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. OLGA RODRIGUEZ
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Credential |
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Telephone | 305-643-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME 59048
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME 55079
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 70533
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License Number State | FL
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