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General NPI Number Information
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NPI Number | 1639479322
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Entity Type | Organization
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Legal Business Name | EXCELLENT MEDICAL CARE INC
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 8150 SW 8TH ST STE. 204
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City | MIAMI
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State | FL
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Zip | 33144-4263
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Country | US
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Telephone | 786-362-5072
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Fax | 786-362-5073
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Provider Business Mailing Address
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Address Line | 8150 SW 8TH ST STE. 204
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City | MIAMI
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State | FL
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Zip | 33144-4263
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Country | US
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Telephone | 786-362-5072
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Fax | 786-362-5073
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GLADYS BORGES
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Credential |
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Telephone | 786-362-5072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA40650
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License Number State | FL
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