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General NPI Number Information
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NPI Number | 1366752875
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Entity Type | Organization
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Legal Business Name | DEJA-VU INVESTMENTS ENTERPRISE
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 1760 W 60TH ST # 1
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City | HIALEAH
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State | FL
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Zip | 33012-6880
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Country | US
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Telephone | 305-803-0720
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Fax | 305-675-7726
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Provider Business Mailing Address
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Address Line | 1760 W 60TH ST # 1
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City | HIALEAH
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State | FL
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Zip | 33012-6880
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Country | US
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Telephone | 305-803-0720
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Fax | 305-675-7726
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Authorized Official
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Title or Position | MEDICAL BILLER AND CODER
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Name | SUSANNE CUESTA
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Credential |
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Telephone | 305-803-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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