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General NPI Number Information
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NPI Number | 1679684393
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Entity Type | Organization
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Legal Business Name | JMH-PUBLIC HEALTH TRUST
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 EDGEWATER DR APT 101
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City | CORAL GABLES
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State | FL
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Zip | 33133-6937
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Country | US
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Telephone | 305-663-7135
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Fax | 305-355-2161
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Provider Business Mailing Address
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Address Line | 100 EDGEWATER DR APT 101
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City | CORAL GABLES
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State | FL
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Zip | 33133-6937
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Country | US
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Telephone | 305-663-7135
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Fax | 305-355-2161
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. LORETTA CONTRERAS
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Credential | ARNP
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Telephone | 30558585365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1320812
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License Number State | FL
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