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General NPI Number Information
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NPI Number | 1669850020
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Entity Type | Organization
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Legal Business Name | MEDGROUP MEDICAL CENTER
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 5200 SW 8TH ST STE 150
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City | CORAL GABLES
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State | FL
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Zip | 33134-2300
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Country | US
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Telephone | 305-250-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 SW 8TH ST STE 150
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City | CORAL GABLES
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State | FL
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Zip | 33134-2300
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Country | US
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Telephone | 305-250-5600
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. SANTIAGO VERA
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Credential |
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Telephone | 305-250-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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