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General NPI Number Information
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NPI Number | 1669510236
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Entity Type | Organization
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Legal Business Name | SCALA CORP.
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3850 SW 87TH AVE SUITE 205
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City | MIAMI
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State | FL
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Zip | 33165-5400
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Country | US
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Telephone | 786-333-3829
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Fax | 786-333-3829
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Provider Business Mailing Address
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Address Line | PO BOX 652853
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City | MIAMI
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State | FL
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Zip | 33265-2853
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Country | US
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Telephone | 786-333-3829
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Fax | 786-333-3829
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALVIN OLAVARRIETA
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Credential |
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Telephone | 786-333-3829
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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 | K9230
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License Number State | FL
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