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General NPI Number Information
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NPI Number | 1407170004
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Entity Type | Organization
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Legal Business Name | WESTLAND SOUTH MEDICAL CENTER, INC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 3410 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3633
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Country | US
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Telephone | 305-559-1997
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Fax | 305-559-1971
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Provider Business Mailing Address
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Address Line | 3410 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3633
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Country | US
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Telephone | 305-559-1997
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Fax | 305-559-1971
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CINDY MARIA PEREZ
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Credential |
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Telephone | 305-559-1997
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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 | HCC5750
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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