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General NPI Number Information
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NPI Number | 1487684569
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Entity Type | Organization
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Legal Business Name | AMERICAN FAMILY HEALTH CENTER,INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 777 E 25TH ST STE 304
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City | HIALEAH
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State | FL
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Zip | 33013-3849
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Country | US
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Telephone | 305-231-8996
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Fax | 305-231-8433
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Provider Business Mailing Address
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Address Line | PO BOX 278004
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City | MIRAMAR
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State | FL
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Zip | 33027-8004
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Country | US
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Telephone | 305-231-8996
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Fax | 305-231-8433
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/ PRESIDENT
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Name | MR. FELIX ALEJANDRO RODRIGUEZ
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Credential | MD
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Telephone | 305-231-8996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME77127
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License Number State | FL
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