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General NPI Number Information
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NPI Number | 1497299796
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Entity Type | Organization
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Legal Business Name | MULTI-SPECIALTY PHYSICIANS GROUP, LLC
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 8600 NW 41ST ST
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City | DORAL
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State | FL
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Zip | 33166-6202
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Country | US
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Telephone | 305-646-3728
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Fax | 305-646-3698
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Provider Business Mailing Address
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Address Line | 8600 NW 41ST ST
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City | DORAL
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State | FL
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Zip | 33166-6202
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Country | US
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Telephone | 305-646-3728
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Fax | 305-646-3698
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Authorized Official
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Title or Position | SENIOR VP
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Name | MR. MARCOS A PEREZ
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Credential |
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Telephone | 305-646-3728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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