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General NPI Number Information
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NPI Number | 1760785232
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Entity Type | Organization
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Legal Business Name | RUIZ-UNGER URGENT CARE CENTER
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 8900 SW 24TH ST SUITE # 204
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City | MIAMI
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State | FL
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Zip | 33165-2075
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Country | US
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Telephone | 305-554-6666
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Fax | 305-554-0176
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Provider Business Mailing Address
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Address Line | 8900 SW 24TH ST SUITE # 204
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City | MIAMI
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State | FL
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Zip | 33165-2075
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Country | US
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Telephone | 305-554-6666
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Fax | 305-554-0176
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Authorized Official
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Title or Position | CEO
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Name | JUAN RUIZ-UNGER
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Credential | M.D.
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Telephone | 305-554-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | ME45343
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License Number State | FL
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