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General NPI Number Information
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NPI Number | 1871260943
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Entity Type | Organization
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Legal Business Name | PHUL MEDICAL SERVICES CORP
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 8900 SW 24TH ST STE 203B
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City | MIAMI
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State | FL
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Zip | 33165-2075
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Country | US
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Telephone | 305-222-2216
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Fax | 305-222-2215
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Provider Business Mailing Address
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Address Line | 8900 SW 24TH ST STE 203B
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City | MIAMI
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State | FL
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Zip | 33165-2075
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Country | US
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Telephone | 305-222-2216
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Fax | 305-222-2215
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Authorized Official
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Title or Position | PRESIDENT
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Name | HILARIO A ISABA
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Credential | MD
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Telephone | 305-222-2216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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