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General NPI Number Information
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NPI Number | 1821503681
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Entity Type | Organization
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Legal Business Name | DEL CARMEN CLINIC CORP
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Dates
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Enumeration Date | 12/02/2017
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Last Update Date | 12/02/2017
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Provider Practice Location Address
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Address Line | 7392 NW 35TH TER 301
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City | MIAMI
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State | FL
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Zip | 33122-1271
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Country | US
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Telephone | 786-615-4956
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Fax | 786-615-4956
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Provider Business Mailing Address
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Address Line | 3225 NW 80TH TER
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City | MIAMI
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State | FL
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Zip | 33147-4626
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Country | US
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Telephone | 786-452-4835
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADELINE LANG
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Credential |
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Telephone | 786-452-4835
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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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