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General NPI Number Information
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NPI Number | 1912964768
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Entity Type | Organization
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Legal Business Name | MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 4300 ALTON RD 5 WARNER
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-2662
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Fax | 305-674-2007
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Provider Business Mailing Address
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Address Line | 4300 ALTON RD 5 WARNER
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-2662
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Fax | 305-674-2007
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | MR. WAYNE CHUTKAN
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Credential | CPA
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Telephone | 305-674-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 800017502
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4066
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License Number State | FL
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