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General NPI Number Information
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NPI Number | 1639860109
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Entity Type | Organization
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Legal Business Name | FIRST CLASS MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 5801 NW 151ST ST STE 207
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2476
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Country | US
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Telephone | 786-558-5748
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Fax | 786-590-2125
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Provider Business Mailing Address
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Address Line | 12792 SW 45TH DR
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City | MIRAMAR
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State | FL
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Zip | 33027-6046
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Country | US
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Telephone | 786-558-5748
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Fax | 786-590-2125
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Authorized Official
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Title or Position | OWNER
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Name | YAILIN MARTIN LOPEZ
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Credential |
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Telephone | 786-263-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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