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General NPI Number Information
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NPI Number | 1831843515
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Entity Type | Organization
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Legal Business Name | 221 LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 1435 W 49TH PLACE SUITE 402
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City | HIALEAH
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State | FL
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Zip | 33012-3147
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Country | US
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Telephone | 305-907-8526
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Fax | 786-534-2493
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Provider Business Mailing Address
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Address Line | PO BOX 282071
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City | TAMPA
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State | FL
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Zip | 33630-2071
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Country | US
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Telephone | 305-928-7249
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Fax | 305-630-3632
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAYANSI GARCIA-PUERTO
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Credential | MD
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Telephone | 305-928-7249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (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 | 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 #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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