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General NPI Number Information
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NPI Number | 1578596722
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Entity Type | Organization
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Legal Business Name | BISCAYNE MEDICAL CENTER
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 6966 TAFT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3800
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Country | US
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Telephone | 954-983-1557
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Fax | 954-983-5528
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Provider Business Mailing Address
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Address Line | 6966 TAFT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3800
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Country | US
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Telephone | 954-983-1557
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Fax | 954-983-5528
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSA LOPEZ
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Credential | R.N
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Telephone | 954-983-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | HCC3818
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License Number State | FL
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