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General NPI Number Information
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NPI Number | 1891079125
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Entity Type | Organization
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Legal Business Name | ADVANCED MULTISPECIALTY MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 7031 SW 62ND AVE 4TH FLOOR
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4701
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Country | US
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Telephone | 305-284-7789
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Fax |
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Provider Business Mailing Address
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Address Line | 5996 SW 70TH ST 5TH FLOOR
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3540
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Country | US
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Telephone | 305-284-7789
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SANDY SOSA-GUERRERO
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Credential | RN
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Telephone | 305-284-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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