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General NPI Number Information
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NPI Number | 1770981847
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Entity Type | Organization
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Legal Business Name | PRECISION HEALTH CENTER, LLC
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 13701 N KENDALL DR SUITE 202-A
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City | MIAMI
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State | FL
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Zip | 33186-1309
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Country | US
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Telephone | 786-548-4704
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Fax | 866-308-5266
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Provider Business Mailing Address
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Address Line | 13701 N KENDALL DR SUITE 202-A
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City | MIAMI
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State | FL
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Zip | 33186-1309
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Country | US
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Telephone | 786-548-4704
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Fax | 866-308-5266
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA MESA
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Credential | MASSAGE THERAPIST
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Telephone | 786-548-4704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | MA66132
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License Number State | FL
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