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General NPI Number Information
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NPI Number | 1518480995
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Entity Type | Organization
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Legal Business Name | TR HEALTH SERVICES LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 34 SE 4TH RD
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City | HOMESTEAD
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State | FL
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Zip | 33030-7308
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Country | US
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Telephone | 786-610-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 SW 78TH CT
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City | MIAMI
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State | FL
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Zip | 33144-5217
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Country | US
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Telephone | 305-588-5980
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | LUIS PALACIOS
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Credential |
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Telephone | 305-588-5980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | FL
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