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General NPI Number Information
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NPI Number | 1598375040
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Entity Type | Organization
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Legal Business Name | CLINICA CUIDADO FELIZ LLC
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Dates
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Enumeration Date | 08/08/2020
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 2422 NW 87TH PL
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City | DORAL
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State | FL
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Zip | 33172-1201
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Country | US
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Telephone | 786-412-2834
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Fax |
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Provider Business Mailing Address
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Address Line | 2422 NW 87TH PL
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City | DORAL
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State | FL
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Zip | 33172-1201
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Country | US
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Telephone | 786-412-2834
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DUAIT VEGA MALAGON
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Credential | MSN-RN
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Telephone | 786-412-2834
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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