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General NPI Number Information
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NPI Number | 1992253736
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Entity Type | Organization
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Legal Business Name | DURIEL MEDICAL CENTER CORP
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 8181 NW 36TH ST 14D
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City | DORAL
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State | FL
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Zip | 33166-6671
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Country | US
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Telephone | 786-852-4563
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Fax |
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Provider Business Mailing Address
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Address Line | 8181 NW 36TH ST 14D
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City | DORAL
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State | FL
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Zip | 33166-6671
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDNT
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Name | ARIEL DURAN
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Credential |
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Telephone | 786-852-4563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME 70040
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License Number State | FL
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