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General NPI Number Information
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NPI Number | 1669244539
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Entity Type | Organization
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Legal Business Name | SMARTCARE MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 1558 NE 162ND ST UNIT B
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4716
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Country | US
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Telephone | 786-306-3767
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Fax |
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Provider Business Mailing Address
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Address Line | 13049 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4951
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Country | US
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Telephone | 786-306-3767
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Fax | 305-899-2049
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Authorized Official
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Title or Position | ADMISTRATOR
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Name | CHANTAL LEMORIN
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Credential |
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Telephone | 786-306-3767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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