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General NPI Number Information
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NPI Number | 1346095148
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Entity Type | Organization
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Legal Business Name | VIPCARE MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 9570 SW 107TH AVE STE 33176
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City | MIAMI
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State | FL
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Zip | 33176-2788
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Country | US
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Telephone | 305-963-8863
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Fax |
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Provider Business Mailing Address
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Address Line | 9570 SW 107TH AVE STE 201
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City | MIAMI
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State | FL
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Zip | 33176-2791
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Country | US
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Telephone | 305-963-8863
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. YANDRIS I SANCHEZ RODRIGUEZ
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Credential | APRN
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Telephone | 305-963-8863
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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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