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General NPI Number Information
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NPI Number | 1679509459
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Entity Type | Organization
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Legal Business Name | MIAMI CHILDRENS HOSPITAL
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 6125 SW 31ST ST
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City | MIAMI
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State | FL
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Zip | 33155-3003
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Country | US
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Telephone | 305-669-7155
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Fax | 305-669-6564
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Provider Business Mailing Address
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Address Line | 6125 SW 31ST ST
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City | MIAMI
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State | FL
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Zip | 33155-3003
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Country | US
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Telephone | 305-669-7155
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Fax | 305-669-6564
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Authorized Official
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Title or Position | DIR PCHY SVS
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Name | CONSTANCE CHAN
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Credential |
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Telephone | 305-663-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | PH8001
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License Number State | FL
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