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General NPI Number Information
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NPI Number | 1962836684
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Entity Type | Organization
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Legal Business Name | TELLUS CLINICAL RESEARCH, INC
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 2500 S DOUGLAS RD SUITE B & C
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City | CORAL GABLES
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State | FL
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Zip | 33134-6104
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Country | US
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Telephone | 786-409-2011
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Fax | 305-271-1555
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Provider Business Mailing Address
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Address Line | 2500 S DOUGLAS RD SUITE B & C
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City | CORAL GABLES
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State | FL
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Zip | 33134-6104
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Country | US
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Telephone | 786-409-2011
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Fax | 305-271-1555
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Authorized Official
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Title or Position | CEO
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Name | MISS FIDALGIS FONT
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Credential |
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Telephone | 786-409-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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