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General NPI Number Information
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NPI Number | 1407657190
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Entity Type | Organization
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Legal Business Name | BELEN HEALTH CENTER LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 5890 NW 173RD DR
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City | HIALEAH
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State | FL
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Zip | 33015-5103
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Country | US
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Telephone | 305-796-3544
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Fax | 786-652-1642
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Provider Business Mailing Address
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Address Line | 13117 NW 107TH AVE STE 1
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City | HIALEAH GDNS
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State | FL
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Zip | 33018-1163
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Country | US
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Telephone | 305-796-3544
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Fax | 786-652-1642
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Authorized Official
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Title or Position | CORP MGR
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Name | ENRIQUE ZAMORA
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Credential |
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Telephone | 305-796-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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