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General NPI Number Information
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NPI Number | 1316928534
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Entity Type | Organization
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Legal Business Name | C & I MEDICAL CENTER CORP
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 13903 NW 67TH AVE SUITE 440
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City | MIAMI
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State | FL
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Zip | 33014-2939
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Country | US
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Telephone | 305-824-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 13903 NW 67TH AVE SUITE 440
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City | MIAMI
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State | FL
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Zip | 33014-2939
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Country | US
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Telephone | 305-824-0880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KALIE KALIEBA VALDES
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Credential |
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Telephone | 305-824-0880
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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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