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General NPI Number Information
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NPI Number | 1467719955
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Entity Type | Organization
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Legal Business Name | MIAMI COMMUNITY HEALTH CENTER, INC
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 891-893 EAST 10TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010
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Country | US
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Telephone | 305-381-5150
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Fax | 305-851-0335
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Provider Business Mailing Address
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Address Line | 891-893 EAST 10TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-6355
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Country | US
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Telephone | 786-220-2029
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Fax | 786-220-2094
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MS. DIANA TORRES
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Credential |
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Telephone | 305-586-3417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | HCC9412
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License Number State | FL
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