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General NPI Number Information
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NPI Number | 1407658123
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Entity Type | Organization
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Legal Business Name | NOVA AND VENUS MEDICAL CENTER LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 9999 SUNSET DR STE 101
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City | MIAMI
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State | FL
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Zip | 33173-4663
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Country | US
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Telephone | 305-733-8573
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Fax |
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Provider Business Mailing Address
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Address Line | 15060 SW 117TH TER
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City | MIAMI
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State | FL
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Zip | 33196-6808
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Country | US
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Telephone | 305-733-8573
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EFRAIN PEREZ PINO
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Credential |
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Telephone | 305-733-8573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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