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General NPI Number Information
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NPI Number | 1447526777
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Entity Type | Organization
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Legal Business Name | MEDX MEDICAL MANAGEMENT AND TECHNOLOGIES, LLC.
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 12550 BISCAYNE BLVD SUITE 400
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2541
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Country | US
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Telephone | 305-576-9999
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Fax | 305-576-9945
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Provider Business Mailing Address
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Address Line | 12550 BISCAYNE BLVD SUITE 400
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2541
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Country | US
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Telephone | 305-576-9999
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Fax | 305-576-9945
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH CASTRANOVA III
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Credential | CPC
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Telephone | 305-576-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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