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General NPI Number Information
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NPI Number | 1871940445
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Entity Type | Organization
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Legal Business Name | PARADISE MEDICAL CENTER INC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 8380 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 786-536-2558
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Fax | 786-536-2929
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Provider Business Mailing Address
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Address Line | 8380 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4180
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Country | US
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Telephone | 865-362-5587
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Fax | 786-536-2929
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | TERESA MORENO HERRERA
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Credential | ARNP
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Telephone | 786-536-2558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | ARNP 9360319
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ANRP9360319
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License Number State | FL
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