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General NPI Number Information
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NPI Number | 1982586806
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Entity Type | Organization
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Legal Business Name | MJH PRIMARY GROUP LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 5200 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33137-2706
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Country | US
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Telephone | 305-751-8626
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33137-2706
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Country | US
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Telephone | 305-751-8626
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE DIRECTOR
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Name | MS. LASHONDRA RHODES-RESCH
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Credential | JD
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Telephone | 305-762-1407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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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