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General NPI Number Information
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NPI Number | 1952670317
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Entity Type | Organization
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Legal Business Name | GOOD HANDS MEDICAL CENTER
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 4155 SW 130TH AVE 205
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City | MIAMI
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State | FL
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Zip | 33175-3414
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Country | US
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Telephone | 305-815-9293
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Fax |
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Provider Business Mailing Address
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Address Line | 4155 SW 130TH AVE 205
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City | MIAMI
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State | FL
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Zip | 33175-3414
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Country | US
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Telephone | 305-815-9293
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MAYLIN VALDES
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Credential | LMT
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Telephone | 305-815-9293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | MA49444
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License Number State | FL
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