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General NPI Number Information
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NPI Number | 1649405127
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Entity Type | Organization
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Legal Business Name | NEW LIFE CLINICAL SERVICES INC
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 7811 CORAL WAY STE # 120
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-267-3950
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Fax | 305-267-3949
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Provider Business Mailing Address
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Address Line | 7811 CORAL WAY STE # 120
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-267-3950
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Fax | 305-267-3949
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEAN MACHADO
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Credential |
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Telephone | 305-267-3950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | PMC1673
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License Number State | FL
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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 | HCC8453
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License Number State | FL
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