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General NPI Number Information
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NPI Number | 1376940460
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Entity Type | Organization
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Legal Business Name | MIAMI HEALTH CARE CENTER
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 219 E 8TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-5116
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Country | US
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Telephone | 305-448-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 2645 SW 37TH AVE STE 502
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City | MIAMI
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State | FL
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Zip | 33133-2744
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Country | US
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Telephone | 305-448-8134
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARRIS MONES
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Credential | DO
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Telephone | 305-448-8134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | OS0004172
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License Number State | FL
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