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General NPI Number Information
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NPI Number | 1992417042
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Entity Type | Organization
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Legal Business Name | MB&V MEDICAL GROUP LLC
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 6445 SW 8TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-4813
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Country | US
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Telephone | 786-828-7158
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Fax |
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Provider Business Mailing Address
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Address Line | 10220 NW 71ST TER
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City | DORAL
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State | FL
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Zip | 33178-4411
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Country | US
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Telephone | 786-782-7738
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MRS. ADRIANA BAEZ
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Credential |
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Telephone | 305-764-9170
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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 |
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