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General NPI Number Information
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NPI Number | 1326319211
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTH MEDICAL CENTER, INC
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 7171 CORAL WAY SUITE 309
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City | MIAMI
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State | FL
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Zip | 33155-1449
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Country | US
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Telephone | 305-267-8881
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Fax | 305-267-8810
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Provider Business Mailing Address
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Address Line | 7171 CORAL WAY SUITE 309
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City | MIAMI
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State | FL
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Zip | 33155-1449
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Country | US
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Telephone | 305-267-8881
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Fax | 305-267-8810
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN CARLOS ALVAREZ
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Credential |
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Telephone | 305-216-8124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC7207
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License Number State | FL
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