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General NPI Number Information
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NPI Number | 1871813808
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Entity Type | Organization
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Legal Business Name | SPELIOS AND ASSOCIATES NORTH MIAMI LLC
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 1313 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5975
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Country | US
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Telephone | 678-879-1177
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5975
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HR COORDINATOR
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Name | APRIL SMITH
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Credential |
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Telephone | 678-879-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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