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General NPI Number Information
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NPI Number | 1467974006
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Entity Type | Organization
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Legal Business Name | ACCESS TCM LLC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/14/2017
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Provider Practice Location Address
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Address Line | 1000 N FLAGLER AVE STE 201
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City | HOMESTEAD
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State | FL
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Zip | 33030-4924
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Country | US
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Telephone | 786-410-5648
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Fax | 305-508-6502
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Provider Business Mailing Address
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Address Line | 815 N HOMESTEAD BLVD # 258
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City | HOMESTEAD
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State | FL
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Zip | 33030-5024
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Country | US
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Telephone | 786-410-5648
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Fax | 305-508-6502
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Authorized Official
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Title or Position | OWNER
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Name | GILBERTO SANCHEZ
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Credential |
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Telephone | 305-303-7187
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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 | FL
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