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General NPI Number Information
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NPI Number | 1861548661
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Entity Type | Organization
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Legal Business Name | BARNETT MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 110 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-5114
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Country | US
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Telephone | 305-649-1011
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Fax | 305-649-8840
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Provider Business Mailing Address
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Address Line | 110 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-5114
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Country | US
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Telephone | 305-649-1011
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Fax | 305-649-8840
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PEDRO GONZALEZ
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Credential | R-RAY TECHNICIAN
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Telephone | 305-649-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 4050
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License Number State | FL
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