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General NPI Number Information
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NPI Number | 1922437573
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Entity Type | Organization
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Legal Business Name | PRIME MEDICAL GROUP
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 1452 N KROME AVE 101-I
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City | FLORIDA CITY
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State | FL
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Zip | 33034-2440
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Country | US
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Telephone | 305-316-2047
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Fax | 786-504-3364
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Provider Business Mailing Address
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Address Line | 1452 N KROME AVE 101-I
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City | FLORIDA CITY
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State | FL
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Zip | 33034-2440
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Country | US
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Telephone | 305-316-2047
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Fax | 786-504-3364
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Authorized Official
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Title or Position | PRESIDENT
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Name | IGNACIO GARCIA-ALEMAN
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Credential |
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Telephone | 305-316-2047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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