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General NPI Number Information
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NPI Number | 1902546583
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Entity Type | Organization
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Legal Business Name | MULTI-SPECIALTY PHYSICIANS GROUP, LLC
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 11501 SW 40TH ST STE 101
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City | MIAMI
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State | FL
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Zip | 33165-3313
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Country | US
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Telephone | 305-631-7447
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Fax | 305-631-7468
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Provider Business Mailing Address
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Address Line | 8600 NW 41ST ST
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City | DORAL
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State | FL
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Zip | 33166-6202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR VP
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Name | MARCOS PEREZ
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Credential |
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Telephone | 305-646-3728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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