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General NPI Number Information
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NPI Number | 1346946696
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Entity Type | Organization
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Legal Business Name | DIGNA HEALTH PHYSICIAN CENTER LLC
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 8905 SW 169TH CT APT 105
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City | MIAMI
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State | FL
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Zip | 33196-4771
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Country | US
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Telephone | 305-790-0290
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Fax |
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Provider Business Mailing Address
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Address Line | 8905 SW 169TH CT APT 105
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City | MIAMI
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State | FL
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Zip | 33196-4771
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Country | US
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Telephone | 305-790-0290
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VEYSY BORGES LEON
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Credential | MD
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Telephone | 305-790-0290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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