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General NPI Number Information
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NPI Number | 1407150766
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Entity Type | Organization
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Legal Business Name | VILMA VICTORIA MERCHANT -GOMEZ
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 14719 SW 90TH TER
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City | MIAMI
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State | FL
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Zip | 33196-1466
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Country | US
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Telephone | 786-344-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 14719 SW 90TH TER
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City | MIAMI
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State | FL
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Zip | 33196-1466
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Country | US
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Telephone | 786-344-8845
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Fax |
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Authorized Official
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Title or Position | PATIENT CARE ATTENDANT
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Name | VILMA VICTORIA MERCHANT -GOMEZ
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Credential |
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Telephone | 786-344-8845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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