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General NPI Number Information
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NPI Number | 1386243822
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Entity Type | Organization
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Legal Business Name | MULTI HEALTH COMMUNITY CENTER INC
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Dates
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Enumeration Date | 10/24/2020
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3898 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1614
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Country | US
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Telephone | 954-280-2056
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Fax | 954-280-2043
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Provider Business Mailing Address
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Address Line | 3898 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1614
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Country | US
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Telephone | 954-280-2056
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Fax | 954-280-2043
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENIA LAZO SANTALLA
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Credential |
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Telephone | 954-280-2056
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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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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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