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General NPI Number Information
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NPI Number | 1588642011
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Entity Type | Organization
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Legal Business Name | TRAUMATIC MEDICAL SERVICES INC
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 5518 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1078
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Country | US
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Telephone | 305-261-3344
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Fax | 305-261-5960
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Provider Business Mailing Address
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Address Line | 5518 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1078
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Country | US
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Telephone | 305-261-3344
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Fax | 305-261-5960
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARDO MIRANDA
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Credential |
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Telephone | 305-299-5261
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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 | HCC6073
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License Number State | FL
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