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General NPI Number Information
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NPI Number | 1730828211
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Entity Type | Organization
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Legal Business Name | CURE WELLNESS MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 900 W 49TH ST STE 330
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City | HIALEAH
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State | FL
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Zip | 33012-3489
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Country | US
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Telephone | 786-953-5752
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W 49TH ST STE 330
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City | HIALEAH
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State | FL
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Zip | 33012-3489
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Country | US
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Telephone | 786-953-5752
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER MONTANE DE MESA
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Credential | RN
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Telephone | 786-953-5752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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