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General NPI Number Information
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NPI Number | 1992520118
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Entity Type | Organization
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Legal Business Name | CLAREMEDICA VIKING LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 27455 S DIXIE HWY UNIT 1
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City | HOMESTEAD
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State | FL
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Zip | 33032-8231
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Country | US
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Telephone | 305-245-3247
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NW 57TH CT STE 400
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City | MIAMI
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State | FL
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Zip | 33126-3292
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Country | US
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Telephone | 786-758-3157
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK L MULLINIX
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Credential |
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Telephone | 786-758-3165
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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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