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General NPI Number Information
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NPI Number | 1437908472
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Entity Type | Organization
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Legal Business Name | GOOD LISTENER MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 05/14/2024
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1761 NW 123RD AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3824
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Country | US
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Telephone | 786-890-0799
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Fax |
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Provider Business Mailing Address
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Address Line | 1761 NW 123RD AVE
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City | PEMBROKE PNES
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State | FL
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Zip | 33026-3824
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Country | US
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Telephone | 786-890-0799
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Fax |
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Authorized Official
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Title or Position | PRIMARY CARE PROVIDER
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Name | DR. ANDRES MICHEL GUTIERREZ
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Credential | MD
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Telephone | 786-890-0799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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