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General NPI Number Information
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NPI Number | 1891877429
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Entity Type | Organization
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Legal Business Name | SOLUTION DIAGNOSTIC CENTER INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3970 W FLAGLER ST SUITE 204
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City | CORAL GABLES
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State | FL
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Zip | 33134-1642
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Country | US
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Telephone | 305-448-6118
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Fax | 305-448-6119
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Provider Business Mailing Address
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Address Line | PO BOX 144460
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City | CORAL GABLES
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State | FL
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Zip | 33114-4460
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Country | US
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Telephone | 305-448-6118
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Fax | 305-448-6119
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE A LOPEZ
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Credential |
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Telephone | 305-448-6118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME64856
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License Number State | FL
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