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General NPI Number Information
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NPI Number | 1528997848
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Entity Type | Organization
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Legal Business Name | PRIME FOR PREP INC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 12550 BISCAYNE BLVD STE 213
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2501
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Country | US
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Telephone | 779-367-7737
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Fax | 855-576-9010
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Provider Business Mailing Address
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Address Line | 12550 BISCAYNE BLVD STE 213
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2501
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Country | US
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Telephone | 779-367-7737
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Fax | 855-576-9010
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID TAPIA
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Credential |
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Telephone | 779-367-7737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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