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General NPI Number Information
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NPI Number | 1366161994
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Entity Type | Organization
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Legal Business Name | MIAMI BEACH CLINICAL RESEARCH CENTER
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 300 71ST ST STE 530
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3087
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Country | US
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Telephone | 786-554-2254
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Fax | 888-503-1582
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Provider Business Mailing Address
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Address Line | 300 71ST ST STE 530
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3087
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Country | US
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Telephone | 786-554-2254
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Fax | 188-850-3158
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Authorized Official
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Title or Position | CLINICAL
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Name | YAQUELIN RODRIGUEZ
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Credential | PA
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Telephone | 786-554-2254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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