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General NPI Number Information
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NPI Number | 1871663278
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Entity Type | Organization
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Legal Business Name | MIAMI SLEEP DISORDERS CENTER
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 01/11/2014
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Provider Practice Location Address
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Address Line | 7029 SW 61ST AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3420
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Country | US
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Telephone | 305-666-2224
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Fax | 305-666-2297
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Provider Business Mailing Address
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Address Line | 7029 SW 61ST AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3420
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Country | US
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Telephone | 305-666-2224
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Fax | 305-666-2297
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALEJANDRO CHEDIAK
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Credential | M.D.
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Telephone | 305-666-2224
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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 | 51163
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License Number State | FL
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