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General NPI Number Information
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NPI Number | 1821274952
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Entity Type | Organization
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Legal Business Name | MEDCHOICE HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 9380 SW 150TH ST SUITE 100
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City | MIAMI
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State | FL
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Zip | 33176-7947
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Country | US
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Telephone | 305-253-2665
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Fax | 305-253-2066
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Provider Business Mailing Address
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Address Line | 8212 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33144-2028
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Country | US
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Telephone | 305-444-7799
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Fax | 305-860-8255
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALEXANDER TIRADO
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Credential |
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Telephone | 305-444-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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