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General NPI Number Information
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NPI Number | 1518198928
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Entity Type | Organization
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Legal Business Name | MULTIMED CARE INC
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 1840 W 49TH ST SUITE 700
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City | HIALEAH
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State | FL
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Zip | 33012-2942
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Country | US
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Telephone | 305-648-1066
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Fax | 305-648-1067
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Provider Business Mailing Address
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Address Line | 1840 W 49TH ST SUITE 700
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City | HIALEAH
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State | FL
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Zip | 33012-2942
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Country | US
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Telephone | 305-648-1066
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Fax | 305-648-1067
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAZARO A CARMONA
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Credential |
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Telephone | 305-648-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC8491
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License Number State | FL
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