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General NPI Number Information
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NPI Number | 1619065810
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Entity Type | Organization
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Legal Business Name | PRIME MEDICAL CARE INC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 232 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33130-3514
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Country | US
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Telephone | 305-858-9997
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Fax | 305-858-7577
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Provider Business Mailing Address
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Address Line | 232 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33130-3514
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Country | US
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Telephone | 305-858-9997
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Fax | 305-858-7577
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Authorized Official
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Title or Position | CEO AND OWNER
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Name | DR. CESAR JOSE VALDESUSO
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Credential | M.D.
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Telephone | 305-858-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 1565834
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License Number State | FL
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