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General NPI Number Information
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NPI Number | 1336524883
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Entity Type | Organization
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Legal Business Name | PRIMEX GROUP, INC.
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 17070 COLLINS AVE SUITE 257
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3635
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Country | US
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Telephone | 305-306-0000
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Fax | 305-306-1111
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Provider Business Mailing Address
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Address Line | 17070 COLLINS AVE SUITE 257
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3635
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Country | US
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Telephone | 305-306-0000
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Fax | 305-306-1111
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Authorized Official
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Title or Position | OWNER
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Name | VLADIMIR NEVIDOMY
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Credential |
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Telephone | 305-306-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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