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General NPI Number Information
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NPI Number | 1487330171
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Entity Type | Organization
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Legal Business Name | GET WELL FAMILY PRACTICE INC.
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 3501 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3634
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Country | US
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Telephone | 786-238-7486
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Fax | 786-359-4767
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Provider Business Mailing Address
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Address Line | 3501 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3634
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Country | US
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Telephone | 786-238-7486
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Fax | 786-359-4767
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN MIGUEL MARTINEZ
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Credential |
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Telephone | 786-474-7142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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