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General NPI Number Information
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NPI Number | 1730587544
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Entity Type | Organization
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Legal Business Name | VISION PROFESSIONAL NETWORK, LLC
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 2601 S DOUGLAS RD SUITE 703
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City | CORAL GABLES
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State | FL
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Zip | 33133-2700
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Country | US
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Telephone | 305-263-9050
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Fax | 305-269-7171
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Provider Business Mailing Address
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Address Line | 7949 NW 2ND ST
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City | MIAMI
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State | FL
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Zip | 33126-8000
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Country | US
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Telephone | 305-263-9050
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Fax | 305-269-7171
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | JOSE ALLENDE
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Credential | CFO
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Telephone | 305-263-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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