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General NPI Number Information
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NPI Number | 1730577727
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Entity Type | Organization
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Legal Business Name | GPSC MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 12/29/2014
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Provider Practice Location Address
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Address Line | 123 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-6008
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Country | US
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Telephone | 305-753-6600
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Fax | 786-615-9581
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Provider Business Mailing Address
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Address Line | 123 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-6008
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Country | US
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Telephone | 305-753-6600
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Fax | 786-615-9581
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULES A CADET
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Credential | M.D.
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Telephone | 305-753-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | ME 41852
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | ME 27293
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License Number State | FL
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