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General NPI Number Information
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NPI Number | 1669978722
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 3701 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3638
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Country | US
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Telephone | 786-366-1895
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Fax |
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Provider Business Mailing Address
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Address Line | 950 N KROME AVE STE 405
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City | HOMESTEAD
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State | FL
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Zip | 33030-4443
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Country | US
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Telephone | 305-559-3167
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Fax | 786-482-5707
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Authorized Official
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Title or Position | OWNER
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Name | HAMLET HASSAN
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Credential |
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Telephone | 954-213-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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