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General NPI Number Information
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NPI Number | 1881021954
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Entity Type | Organization
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Legal Business Name | USPHS
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 18201 SW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33194-2700
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Country | US
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Telephone | 305-207-5086
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Fax |
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Provider Business Mailing Address
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Address Line | 18201 SW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33194-2700
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Country | US
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Telephone | 305-207-5086
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Fax |
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Authorized Official
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Title or Position | HOSPITAL ADMINISTRATION
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Name | MRS. EUNICE JONES-WILLS
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Credential |
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Telephone | 305-207-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number | PA9107559
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License Number State | FL
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