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General NPI Number Information
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NPI Number | 1891538567
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Entity Type | Organization
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Legal Business Name | MIAMI CENTER FOR ORTHOPEDIC CARE
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 3650 NW 82ND AVE STE 201
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City | DORAL
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State | FL
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Zip | 33166-6662
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Country | US
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Telephone | 305-426-4263
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Fax | 305-602-8225
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Provider Business Mailing Address
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Address Line | 7325 SW 78TH CT
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City | MIAMI
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State | FL
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Zip | 33143-4023
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Country | US
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Telephone | 305-426-4263
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Fax | 305-602-8225
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Authorized Official
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Title or Position | CEO
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Name | ERIC J BALAGUER
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Credential | MD
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Telephone | 786-531-4955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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