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General NPI Number Information
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NPI Number | 1386135564
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Entity Type | Organization
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Legal Business Name | ONEPLUS MEDICAL CENTERS, LLC.
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 581 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4469
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Country | US
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Telephone | 305-651-1690
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Fax | 305-652-4457
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Provider Business Mailing Address
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Address Line | 581 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4469
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Country | US
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Telephone | 305-651-1690
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Fax | 305-652-4457
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. JOHN SANTANA
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Credential | HSA
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Telephone | 305-651-1690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME96435
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License Number State | FL
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