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General NPI Number Information
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NPI Number | 1346519980
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Entity Type | Organization
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Legal Business Name | SPRING MEDICAL CENTER LLC
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Dates
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Enumeration Date | 12/28/2011
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 35 SW 114TH AVE STE 206
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City | MIAMI
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State | FL
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Zip | 33174-1005
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Country | US
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Telephone | 305-225-7670
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Fax |
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Provider Business Mailing Address
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Address Line | 35 SW 114TH AVE STE 206
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City | MIAMI
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State | FL
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Zip | 33174-1005
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Country | US
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Telephone | 305-225-7670
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RALPH MINIET
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Credential | M.D
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Telephone | 305-225-7670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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