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General NPI Number Information
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NPI Number | 1831421817
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Entity Type | Organization
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Legal Business Name | VRC GROUP SERVICE, INC.
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 13876 SW 56TH ST SUITE 277
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City | MIAMI
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State | FL
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Zip | 33175-6021
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Country | US
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Telephone | 786-356-6023
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Fax | 305-402-2323
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Provider Business Mailing Address
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Address Line | 13876 SW 56TH ST SUITE 277
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City | MIAMI
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State | FL
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Zip | 33175-6021
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Country | US
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Telephone | 786-356-6023
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Fax | 305-402-2323
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTHA AMADOR DIAZ
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Credential |
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Telephone | 786-356-6023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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