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General NPI Number Information
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NPI Number | 1700270139
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Entity Type | Organization
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Legal Business Name | ALLIANCE MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 6245 MIRAMAR PKWY SUITE 101
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City | MIRAMAR
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State | FL
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Zip | 33023-3964
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Country | US
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Telephone | 954-613-4715
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Fax | 954-613-4722
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Provider Business Mailing Address
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Address Line | 6245 MIRAMAR PKWY SUITE 102
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City | MIRAMAR
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State | FL
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Zip | 33023-3964
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Country | US
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Telephone | 954-613-4715
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Fax | 954-613-4722
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JEAN RODNEY
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Credential | MD
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Telephone | 305-300-6278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | FL
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