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General NPI Number Information
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NPI Number | 1417108879
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Entity Type | Organization
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Legal Business Name | REDONDO HAND CENTER
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 7130 SW 87TH CT
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City | MIAMI
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State | FL
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Zip | 33173-2511
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Country | US
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Telephone | 305-412-2800
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Fax | 305-412-6045
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Provider Business Mailing Address
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Address Line | 7130 SW 87TH CT
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City | MIAMI
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State | FL
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Zip | 33173-2511
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Country | US
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Telephone | 305-412-2800
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Fax | 305-412-6045
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Authorized Official
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Title or Position | BILLING/ CREDENTIALING CLERK
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Name | MS. ELIZABETH FUENTES
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Credential |
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Telephone | 305-412-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 0064553
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License Number State | FL
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