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General NPI Number Information
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NPI Number | 1831548783
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Entity Type | Organization
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Legal Business Name | DOCTORS COLLABORATIVE CARE SOLUTIONS
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 9020 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-1426
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Country | US
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Telephone | 786-299-9529
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 MADRUGA AVE SUITE 406
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City | CORAL GABLES
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State | FL
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Zip | 33146-3039
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Country | US
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Telephone | 305-740-3340
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Fax |
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Authorized Official
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Title or Position | CFO/ OPERATIONS MANAGER
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Name | MR. ROSDUALDO GERMAN FERRER
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Credential |
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Telephone | 786-299-9529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 208000000X
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Taxonomy Name | Pediatrics 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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