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NPI 1003845801

NPI 1003845801 : GENE NEYTMAN DO : MIAMI BEACH, FL

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General NPI Number Information
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    NPI Number           |    1003845801
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    Entity Type          |    Individual 
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    Provider Name        |    GENE NEYTMAN DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/02/2006
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    Last Update Date     |    03/17/2016
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Provider Practice Location Address
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    Address Line         |    1674 MERIDIAN AVE SUITE 201
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33139-2801
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    Country              |    US
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    Telephone            |    305-760-8756
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    Fax                  |    305-760-8759
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Provider Business Mailing Address
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    Address Line         |    1674 MERIDIAN AVE SUITE 201
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33139-2801
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    Country              |    US
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    Telephone            |    305-760-8756
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    Fax                  |    305-760-8759
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    OS8861
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    License Number State |    FL
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