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General NPI Number Information
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NPI Number | 1790072403
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Entity Type | Organization
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Legal Business Name | CAFE SOLE MIAMI, INC.
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 711 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-3012
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Country | US
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Telephone | 305-642-6000
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Fax | 305-324-2039
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Provider Business Mailing Address
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Address Line | 711 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-3012
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Country | US
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Telephone | 305-642-6000
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Fax | 305-324-2039
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Authorized Official
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Title or Position | OWNER
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Name | MR. MAX R. PRICE
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Credential |
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Telephone | 786-486-6167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | SEA2329042
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License Number State | FL
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