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General NPI Number Information
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NPI Number | 1639925910
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Entity Type | Organization
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Legal Business Name | CENTRO HOSPITALARIO MAC SA DE CV
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | LIB. JOSE MANUEL ZAVALA 12, CENTRO
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City | SAN MIGUEL DE ALLENDE
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State | GUANAJUATO
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Zip | 37700
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Country | MX
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Telephone | 524-151-5259
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11577
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-1577
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CARMEN GARCIA
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Credential |
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Telephone | 954-526-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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