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General NPI Number Information
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NPI Number | 1841004371
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Entity Type | Organization
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Legal Business Name | NOVA MEDICAL SERVICES - RESEARCH DIVISION LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 11440 N KENDALL DR STE 111
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City | MIAMI
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State | FL
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Zip | 33176-1024
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Country | US
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Telephone | 786-715-9183
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Fax | 786-713-1115
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Provider Business Mailing Address
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Address Line | 11420 N KENDALL DR STE 206
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City | MIAMI
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State | FL
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Zip | 33176-1039
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Country | US
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Telephone | 786-715-9183
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Fax | 786-713-1115
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Authorized Official
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Title or Position | CEO
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Name | DR. IVAN DARIO CANAS JR.
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Credential | DNP, MBA
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Telephone | 786-715-9183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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