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General NPI Number Information
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NPI Number | 1366536484
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Entity Type | Organization
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Legal Business Name | J.A. PROFESSIONAL SERVICES, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 540 BRICKELL KEY DR SUITE1209
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City | MIAMI
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State | FL
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Zip | 33131-2697
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Country | US
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Telephone | 305-358-6705
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Fax | 305-372-1092
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Provider Business Mailing Address
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Address Line | 540 BRICKELL KEY DR SUITE1209
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City | MIAMI
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State | FL
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Zip | 33131-2697
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Country | US
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Telephone | 305-358-6705
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Fax | 305-372-1092
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Authorized Official
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Title or Position | OWNER
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Name | MR. JORGE H AGUIRRE
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Credential | RADIOLOGIC TECHNOLOG
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Telephone | 305-358-6705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 33322
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License Number State | FL
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