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General NPI Number Information
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NPI Number | 1972897890
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER OF CUTLER BAY, INC
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 10961 SW 186TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-6808
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Country | US
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Telephone | 305-252-2255
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Fax | 305-252-2229
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Provider Business Mailing Address
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Address Line | PO BOX 430438
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City | SOUTH MIAMI
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State | FL
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Zip | 33243-0438
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Country | US
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Telephone | 305-252-2255
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Fax | 305-252-2229
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | ARMANDO FALCON
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Credential | MD
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Telephone | 305-252-2255
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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 | ME 84789
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License Number State | FL
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