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General NPI Number Information
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NPI Number | 1558348292
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Entity Type | Organization
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Legal Business Name | MED SOLUTION CLINIC INC.
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3750 W 16TH AVE SUITE108
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City | HIALEAH
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State | FL
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Zip | 33012-4654
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Country | US
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Telephone | 305-817-3081
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Fax |
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Provider Business Mailing Address
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Address Line | 7840 SW 21ST TER
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City | MIAMI
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State | FL
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Zip | 33155-6545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SONIA CASTELLON
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Credential |
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Telephone | 305-299-3965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME28418
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License Number State | FL
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