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General NPI Number Information
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NPI Number | 1437240587
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Entity Type | Organization
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Legal Business Name | ACCIDENT CLINICAL CENTER
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7171 CORAL WAY STE 402
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City | MIAMI
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State | FL
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Zip | 33155
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Country | US
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Telephone | 786-326-4835
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Fax | 305-259-6396
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Provider Business Mailing Address
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Address Line | 8745 SW 144 STREET
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 786-326-4835
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Fax | 305-259-5396
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PAMELA MENDOZA
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Credential |
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Telephone | 786-326-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC4525
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License Number State | FL
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