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General NPI Number Information
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NPI Number | 1962625178
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Entity Type | Organization
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Legal Business Name | MIAMI SPRINGS HEALTH CENTER INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 3968 CURTISS PKWY
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-7108
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Country | US
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Telephone | 305-871-8128
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Fax |
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Provider Business Mailing Address
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Address Line | 3968 CURTISS PKWY
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-7108
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Country | US
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Telephone | 305-871-8128
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BLANCA CASTRO
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Credential |
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Telephone | 305-871-8128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | ME86153
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License Number State | FL
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