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General NPI Number Information
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NPI Number | 1710982236
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Entity Type | Organization
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Legal Business Name | HEALTH SERVICES OF MIAMI
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 2319 W 76TH ST
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City | HIALEAH
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State | FL
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Zip | 33016-1842
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Country | US
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Telephone | 305-557-3159
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Fax | 305-558-0701
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Provider Business Mailing Address
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Address Line | 2319 W 76TH ST
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City | HIALEAH
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State | FL
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Zip | 33016-1842
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Country | US
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Telephone | 305-557-3159
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Fax | 305-558-0701
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GILBERTO PINTO
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Credential |
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Telephone | 305-557-3159
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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 | PH13111
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5047B2
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License Number State | FL
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