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General NPI Number Information
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NPI Number | 1518677913
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Entity Type | Organization
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Legal Business Name | QUALITY HEALING CARE INC
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 900 W 49TH ST STE 505
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City | HIALEAH
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State | FL
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Zip | 33012-3488
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Country | US
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Telephone | 786-558-5701
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Fax | 786-558-3164
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Provider Business Mailing Address
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Address Line | 1400 NE MIAMI GARDENS DR STE 221
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4844
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Country | US
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Telephone | 305-609-3278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LUIS O DIAZ VICET
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Credential | OWNER
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Telephone | 786-309-0338
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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 |
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License Number State |
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