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General NPI Number Information
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NPI Number | 1790818508
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Entity Type | Organization
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Legal Business Name | MEDHOPECARECENTERSINC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4401 85TH AVENUE CIR E
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City | PARRISH
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State | FL
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Zip | 34219-1907
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Country | US
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Telephone | 727-415-1395
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Fax | 941-776-1238
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Provider Business Mailing Address
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Address Line | 4401 85TH AVENUE CIR E
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City | PARRISH
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State | FL
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Zip | 34219-1907
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Country | US
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Telephone | 727-415-1395
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Fax | 941-776-1238
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Authorized Official
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Title or Position | CEO
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Name | DR. GUILLERMO SUAREZ SR.
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Credential | M.D
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Telephone | 941-752-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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