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General NPI Number Information
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NPI Number | 1376398289
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Entity Type | Organization
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Legal Business Name | DOCUCONECT & CONSULTING SERVICES CORP
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 100 NE 15TH ST STE 101C
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City | HOMESTEAD
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State | FL
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Zip | 33030-4564
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Country | US
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Telephone | 305-873-4065
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Fax |
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Provider Business Mailing Address
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Address Line | 29995 SW 157TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33033-2420
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Country | US
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Telephone | 305-873-4065
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OSMEL GARCIA CHIRINO
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Credential |
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Telephone | 305-873-4065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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