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General NPI Number Information
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NPI Number | 1487601902
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Entity Type | Organization
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Legal Business Name | O&D MEDICAL CENTER, CORPORATION
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5309 SW 8TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2269
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Country | US
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Telephone | 305-567-4252
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Fax | 305-567-4253
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Provider Business Mailing Address
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Address Line | 5309 SW 8TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2269
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Country | US
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Telephone | 305-567-4252
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Fax | 305-567-4253
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS MELISSA RODRIGUEZ
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Credential |
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Telephone | 305-567-4252
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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 | HCC7007
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License Number State | FL
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