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General NPI Number Information
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NPI Number | 1326458605
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Entity Type | Organization
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Legal Business Name | MILLENIUM CONTRACTORS
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 8950 SW 74TH CT STE # 2201
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City | MIAMI
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State | FL
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Zip | 33156-3171
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Country | US
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Telephone | 305-408-0770
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Fax | 305-382-3555
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Provider Business Mailing Address
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Address Line | 8950 SW 74TH CT STE # 2201
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City | MIAMI
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State | FL
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Zip | 33156-3171
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Country | US
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Telephone | 305-408-0770
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Fax | 305-382-3555
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Authorized Official
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Title or Position | PRES
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Name | JAVIER ESTRADA
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Credential | LIC GENERAL CONTRACT
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Telephone | 305-408-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | CGC1505221
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License Number State | FL
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