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General NPI Number Information
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NPI Number | 1982167086
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Entity Type | Organization
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Legal Business Name | MY EMERGENT CARE
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 3595 W 20TH AVE STE 145
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City | HIALEAH
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State | FL
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Zip | 33012-4537
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Country | US
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Telephone | 305-823-2233
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Fax | 305-735-5928
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Provider Business Mailing Address
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Address Line | 9090 SW 87TH CT STE 100
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City | MIAMI
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State | FL
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Zip | 33176-2317
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Country | US
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Telephone | 305-546-7852
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Fax | 305-735-5931
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JOSE VARONA
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Credential |
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Telephone | 305-696-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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