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General NPI Number Information
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NPI Number | 1902307846
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Entity Type | Organization
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Legal Business Name | SENECA HEALTHCARE & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 4603 N UNIVERSITY DR
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City | LAUDERHILL
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State | FL
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Zip | 33351-5741
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Country | US
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Telephone | 954-368-6604
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Fax | 954-368-6454
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Provider Business Mailing Address
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Address Line | 4603 N UNIVERSITY DR
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City | LAUDERHILL
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State | FL
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Zip | 33351-5741
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Country | US
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Telephone | 954-368-6604
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Fax | 954-368-6454
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MARIA CRISTINA SUAREZ
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Credential |
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Telephone | 954-368-6604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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