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General NPI Number Information
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NPI Number | 1386923050
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Entity Type | Organization
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Legal Business Name | NEW HEALTH COMMUNITY CENTERS INC
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 6300 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33138-6005
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Country | US
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Telephone | 305-754-8966
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Fax | 305-754-4063
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Provider Business Mailing Address
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Address Line | 6300 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33138-6005
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Country | US
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Telephone | 305-754-8966
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Fax | 305-754-4063
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. RENAUD SAINT-VIL
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Credential | MD
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Telephone | 305-754-8966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME53090
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License Number State | FL
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