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General NPI Number Information
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NPI Number | 1376545178
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Entity Type | Organization
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Legal Business Name | DHARMA MEDICAL CENTER
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6911 NW 77TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-2835
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Country | US
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Telephone | 305-882-9291
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Fax | 305-885-9292
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Provider Business Mailing Address
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Address Line | 6911 NW 77TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-2835
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Country | US
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Telephone | 305-882-9291
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Fax | 305-885-9292
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ELINA MARIA PELAEZ
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Credential |
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Telephone | 305-885-9291
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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 | 549359-8
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License Number State | FL
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