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General NPI Number Information
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NPI Number | 1811575087
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Entity Type | Organization
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Legal Business Name | VIVA MEDICAL CENTER
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 10560 NW 27TH ST UNIT G101-A
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City | DORAL
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State | FL
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Zip | 33172-5928
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Country | US
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Telephone | 305-209-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 NW 27TH ST UNIT G101-A
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City | DORAL
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State | FL
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Zip | 33172-5928
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Country | US
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Telephone | 305-209-0001
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. YISSEL PEREZ
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Credential |
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Telephone | 305-209-0002
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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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