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General NPI Number Information
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NPI Number | 1740429950
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Entity Type | Organization
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Legal Business Name | SOUTH MEDICAL CENTER, INC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 7951 SW 40TH ST STE 200
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City | MIAMI
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State | FL
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Zip | 33155-6752
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Country | US
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Telephone | 305-265-1192
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Fax | 305-265-1294
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Provider Business Mailing Address
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Address Line | 7951 SW 40TH ST STE 200
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City | MIAMI
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State | FL
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Zip | 33155-6752
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Country | US
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Telephone | 305-265-1192
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Fax | 305-265-1294
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MARCOS A DIAZ
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Credential |
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Telephone | 305-265-1192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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