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General NPI Number Information
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NPI Number | 1639750458
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MEDICAL INSTITUTE
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 700 NW 183RD ST STE B
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City | MIAMI
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State | FL
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Zip | 33169-4250
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Country | US
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Telephone | 305-974-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 700 NW 183RD ST STE B
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City | MIAMI
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State | FL
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Zip | 33169-4250
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Country | US
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Telephone | 305-974-5995
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Fax | 305-974-5957
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Authorized Official
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Title or Position | CLINICAL OPERATIONS COORDINATOR
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Name | DIMA SAMRA
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Credential |
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Telephone | 305-974-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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