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General NPI Number Information
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NPI Number | 1912308719
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Entity Type | Organization
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Legal Business Name | MIAMI EXCELLENCE MEDICAL CENTER, INC
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 8000 NW 7TH ST SUITE 102
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City | MIAMI
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State | FL
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Zip | 33126-4100
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Country | US
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Telephone | 305-647-2778
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Fax | 305-671-9284
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Provider Business Mailing Address
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Address Line | 8000 NW 7TH ST SUITE 102
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City | MIAMI
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State | FL
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Zip | 33126-4100
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Country | US
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Telephone | 305-647-2778
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Fax | 305-671-9284
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | ANA M AEL
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Credential |
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Telephone | 305-647-2778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME108112
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME103151
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME117787
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License Number State | FL
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