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General NPI Number Information
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NPI Number | 1992104160
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Entity Type | Organization
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Legal Business Name | D & A MEDICAL SERVICES CENTER CORP
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 4343 W FLAGLER ST SUITE 200-I
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City | CORAL GABLES
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State | FL
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Zip | 33134-1586
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Country | US
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Telephone | 786-445-3993
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 W FLAGLER ST SUITE 200-I
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City | CORAL GABLES
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State | FL
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Zip | 33134-1586
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Country | US
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Telephone | 786-445-3993
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA GAITAN
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Credential |
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Telephone | 786-445-3993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | FL
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