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General NPI Number Information
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NPI Number | 1831995299
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Entity Type | Organization
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Legal Business Name | RANGEL MEDICAL CENTER
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 12595 SW 137TH AVE STE 201
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City | MIAMI
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State | FL
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Zip | 33186-4221
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Country | US
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Telephone | 786-526-7708
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Fax |
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Provider Business Mailing Address
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Address Line | 12595 SW 137TH AVE STE 201
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City | MIAMI
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State | FL
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Zip | 33186-4221
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Country | US
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Telephone | 786-526-7708
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LIANNE RANGEL IZQUIERDO
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Credential |
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Telephone | 786-526-7708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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