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General NPI Number Information
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NPI Number | 1336954767
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Entity Type | Organization
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Legal Business Name | JM MEDICAL SCIENCES RESEARCH LLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 12750 NW 17TH ST UNIT 203
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City | MIAMI
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State | FL
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Zip | 33182-1422
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Country | US
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Telephone | 786-808-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 11293 NW 43RD TER
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City | DORAL
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State | FL
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Zip | 33178-4204
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIO MORALES ALFARO
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Credential |
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Telephone | 863-368-1802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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