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General NPI Number Information
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NPI Number | 1942660816
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Entity Type | Organization
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Legal Business Name | SUNMED HEALTH CENTER INC
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 150 NW 168TH ST SUITE 301
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-6045
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Country | US
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Telephone | 305-944-1122
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Fax | 305-944-1133
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Provider Business Mailing Address
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Address Line | 150 NW 168TH ST SUITE 301
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-6045
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Country | US
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Telephone | 305-944-1122
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Fax | 305-944-1133
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALEXANDER TIRADO
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Credential | P.A.-C
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Telephone | 305-944-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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