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General NPI Number Information
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NPI Number | 1467701516
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Entity Type | Organization
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Legal Business Name | URGENT CARE CENTER - JUAN GUTIERREZ, M.D.
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | 11880 SW 40TH ST STE 404
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City | MIAMI
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State | FL
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Zip | 33175-3575
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Country | US
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Telephone | 305-227-6618
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Fax | 305-227-6668
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Provider Business Mailing Address
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Address Line | 11880 SW 40TH ST STE 404
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City | MIAMI
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State | FL
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Zip | 33175-3575
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Country | US
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Telephone | 305-227-6618
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Fax | 305-227-6668
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JUAN MANUEL GUTIERREZ
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Credential | M.D.
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Telephone | 305-227-6618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | ME40749
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License Number State | FL
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