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General NPI Number Information
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NPI Number | 1417250457
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Entity Type | Organization
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Legal Business Name | MEDINA'S GENERAL SERVICES CORP
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 11980 SW 8TH ST 15
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City | MIAMI
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State | FL
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Zip | 33184-1667
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Country | US
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Telephone | 305-552-6162
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Fax | 305-552-6174
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Provider Business Mailing Address
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Address Line | 11980 SW 8TH ST SUITE#15
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City | MIAMI
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State | FL
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Zip | 33184-1667
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Country | US
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Telephone | 305-552-6162
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Fax | 305-552-6174
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDRO DELGADO
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Credential |
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Telephone | 305-552-6162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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