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General NPI Number Information
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NPI Number | 1922469162
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Entity Type | Organization
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Legal Business Name | ACCOUNTABLE CARE HOSPITALISTS, INC.
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 6355 NW 36TH ST 604
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-7027
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Country | US
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Telephone | 305-400-4849
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Fax | 305-874-3905
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Provider Business Mailing Address
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Address Line | 6355 NW 36TH ST 604
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-7027
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Country | US
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Telephone | 305-400-4849
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Fax | 305-874-3905
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE DAVID SUAREZ
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Credential | M.D.
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Telephone | 305-400-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME69634
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME122433
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License Number State | FL
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