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General NPI Number Information
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NPI Number | 1629651211
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Entity Type | Organization
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Legal Business Name | CLINICA PICRIN OF MIAMI,LLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 780 NE 69TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33138-5751
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Country | US
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Telephone | 786-651-8092
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Fax |
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Provider Business Mailing Address
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Address Line | 780 NE 69TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33138-5751
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Country | US
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Telephone | 786-651-8092
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN NEAL ZAIAC
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Credential | MD
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Telephone | 786-651-8092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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