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General NPI Number Information
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NPI Number | 1346001732
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Entity Type | Organization
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Legal Business Name | MY MEDICAL PROVIDERS, LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 2820 NE 214TH ST STE 801
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City | MIAMI
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State | FL
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Zip | 33180-1269
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Country | US
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Telephone | 305-771-1089
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Fax | 305-771-2248
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Provider Business Mailing Address
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Address Line | 7969 NW 2ND ST # 1489
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City | MIAMI
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State | FL
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Zip | 33126-8018
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Country | US
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Telephone | 305-771-1089
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JENNIFER GUERRERO
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Credential | MD
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Telephone | 305-771-1089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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