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General NPI Number Information
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NPI Number | 1003223322
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Entity Type | Organization
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Legal Business Name | OUELLETTE GROUP PHYSICIANS FOR THE HAND
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 4302 ALTON RD SUITE 710
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2891
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Country | US
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Telephone | 786-261-0222
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Fax | 786-594-4650
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Provider Business Mailing Address
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Address Line | 3150 SW 38 AVE SUITE 600
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City | MIAMI
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State | FL
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Zip | 33146-1523
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Country | US
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Telephone | 786-261-0222
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Fax | 786-594-4650
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | ELIZABETH ANNE OUELLETTE
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Credential | MD
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Telephone | 786-261-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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