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General NPI Number Information
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NPI Number | 1497474241
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Entity Type | Organization
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Legal Business Name | AMA HEALTH LLC
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 925 NE 30TH TER STE 100
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City | HOMESTEAD
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State | FL
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Zip | 33033-7614
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Country | US
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Telephone | 305-764-1791
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Fax |
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Provider Business Mailing Address
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Address Line | 9041 NW 115TH ST
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4124
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Country | US
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Telephone | 305-764-1791
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ALDO MENENDEZ ARCIA
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Credential | PA
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Telephone | 305-764-1791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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