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General NPI Number Information
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NPI Number | 1932988037
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Entity Type | Organization
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Legal Business Name | MIAMI BEACH ELITE DIALYSIS CLINIC LLC
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 714 W 51ST ST
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2615
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Country | US
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Telephone | 954-451-1431
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Fax | 888-781-7746
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Provider Business Mailing Address
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Address Line | 714 W 51ST ST
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2615
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Country | US
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Telephone | 954-451-2431
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Fax | 888-781-7746
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ALEXANDER DELLON
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Credential |
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Telephone | 561-213-0337
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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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