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General NPI Number Information
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NPI Number | 1427218049
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Entity Type | Organization
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Legal Business Name | COYA MEDICAL CENTER, PA
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 2580 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2400
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Country | US
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Telephone | 305-551-2455
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Fax | 305-551-9061
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Provider Business Mailing Address
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Address Line | 2580 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2400
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Country | US
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Telephone | 305-551-2455
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Fax | 305-551-9061
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Authorized Official
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Title or Position | PRESIDENT
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Name | IVONNE F TORRE-COYA
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Credential | MD
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Telephone | 305-551-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME42817
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License Number State | FL
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