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General NPI Number Information
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NPI Number | 1972216778
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Entity Type | Organization
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Legal Business Name | OCEAN HEALTH SYSTEM LLC
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 7921 BIRD RD STE 39
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City | MIAMI
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State | FL
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Zip | 33155-6747
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Country | US
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Telephone | 786-310-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 7921 BIRD RD STE 39-42
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City | MIAMI
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State | FL
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Zip | 33155-6747
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Country | US
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Telephone | 786-310-1570
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREA M ALLEN
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Credential |
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Telephone | 786-541-5116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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