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General NPI Number Information
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NPI Number | 1316065238
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Entity Type | Organization
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Legal Business Name | JAE MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 8660 W FLAGLER ST SUITE 120
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City | MIAMI
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State | FL
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Zip | 33144-2031
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Country | US
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Telephone | 305-551-2215
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Fax | 305-551-2213
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Provider Business Mailing Address
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Address Line | 8660 W FLAGLER ST SUITE 120
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City | MIAMI
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State | FL
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Zip | 33144-2031
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Country | US
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Telephone | 305-551-2215
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Fax | 305-551-2213
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAIME SARMIENTO
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Credential |
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Telephone | 786-547-6691
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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 |
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License Number State |
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