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General NPI Number Information
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NPI Number | 1447938782
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Entity Type | Organization
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Legal Business Name | ST. JUDE CLINICAL RESEARCH, LLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 10450 NW 33RD ST UNIT 409
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City | DORAL
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State | FL
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Zip | 33172-1006
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Country | US
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Telephone | 305-507-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 10450 NW 33RD ST UNIT 409
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City | DORAL
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State | FL
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Zip | 33172-1006
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Country | US
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Telephone | 305-507-2273
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHEILA LINARES
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Credential | RN
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Telephone | 786-521-0290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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