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General NPI Number Information
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NPI Number | 1598078073
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Entity Type | Organization
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Legal Business Name | MIAMI DADE EMERGENCY PHYSICIANS LLC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 2500 SW 75TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2805
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Country | US
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Telephone | 305-264-5252
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 534960
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City | ATLANTA
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State | GA
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Zip | 30353-4960
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Country | US
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Telephone | 800-514-1494
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. SARAH C.H. CRASS
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Credential |
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Telephone | 904-805-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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