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General NPI Number Information
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NPI Number | 1750924643
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Entity Type | Organization
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Legal Business Name | TCMPEO
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 1501 S MIAMI AVE
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City | MIAMI
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State | FL
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Zip | 33129-1102
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Country | US
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Telephone | 305-854-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 SW 27TH AVE PH 3
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City | MIAMI
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State | FL
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Zip | 33133-3059
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Country | US
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Telephone | 786-470-4900
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHYSICIAN/OWNER
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Name | DR. JOSE I ALMEIDA
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Credential | MD
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Telephone | 305-854-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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