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General NPI Number Information
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NPI Number | 1407311491
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Entity Type | Organization
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Legal Business Name | ABUELOS MEDICAL CENTER LLC
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 3383 NW 7TH ST STE 201
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City | MIAMI
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State | FL
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Zip | 33125-4140
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Country | US
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Telephone | 786-486-9878
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Fax | 305-642-3865
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Provider Business Mailing Address
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Address Line | 3383 NW 7TH ST STE 201
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City | MIAMI
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State | FL
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Zip | 33125-4140
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Country | US
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Telephone | 786-486-9878
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Fax | 305-642-3865
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | RUDDY LOPEZ
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Credential |
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Telephone | 786-486-9878
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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 |
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License Number State |
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