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General NPI Number Information
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NPI Number | 1710453022
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Entity Type | Organization
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Legal Business Name | DURAN MEDICAL CENTER, INC
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 14150 SW 119TH AVE STE 102
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City | MIAMI
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State | FL
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Zip | 33186-6012
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Country | US
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Telephone | 786-709-9362
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Fax | 786-709-9364
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Provider Business Mailing Address
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Address Line | 14150 SW 119TH AVE STE 102
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City | MIAMI
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State | FL
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Zip | 33186-6012
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Country | US
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Telephone | 786-709-9362
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Fax | 786-709-9364
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | YOLANDA CASTILLO
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Credential | RN
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Telephone | 786-709-9362
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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 |
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