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General NPI Number Information
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NPI Number | 1346221611
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Entity Type | Organization
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Legal Business Name | HOMESTEAD PORTABLE X-RAY SERVICES INC
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 4700 NW 7TH ST SUITE 3
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City | MIAMI
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State | FL
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Zip | 33126-2252
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Country | US
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Telephone | 786-866-9737
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Fax | 786-866-5933
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Provider Business Mailing Address
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Address Line | 4700 NW 7TH ST SUITE 3
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City | MIAMI
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State | FL
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Zip | 33126-2252
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Country | US
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Telephone | 786-866-9737
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Fax | 786-866-5933
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KAADIR HERRERA ORTEGA
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Credential |
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Telephone | 786-866-9737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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