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General NPI Number Information
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NPI Number | 1902278062
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Entity Type | Organization
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Legal Business Name | PAJ HEALTH PARTNERS
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 1100 NW 95TH ST 2-MAIN
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City | MIAMI
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State | FL
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Zip | 33150-2038
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Country | US
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Telephone | 786-671-3267
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 640890
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City | MIAMI
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State | FL
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Zip | 33164-0890
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Country | US
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Telephone | 786-671-3267
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DENISE MELENDEZ
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Credential |
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Telephone | 786-671-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State | FL
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