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General NPI Number Information
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NPI Number | 1477334746
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Entity Type | Organization
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Legal Business Name | JDS CALM HEALTH CORP
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 4155 SW 130TH AVE STE 114
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City | MIAMI
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State | FL
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Zip | 33175-3414
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Country | US
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Telephone | 956-293-5008
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Fax | 645-202-2725
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Provider Business Mailing Address
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Address Line | 4155 SW 130TH AVE STE 114
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City | MIAMI
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State | FL
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Zip | 33175-3414
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Country | US
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Telephone | 956-293-5008
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Fax | 645-202-2725
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Authorized Official
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Title or Position | CEO
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Name | ROGELIO DANIEL MADRUGA PAU
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Credential | APRN
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Telephone | 956-293-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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