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General NPI Number Information
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NPI Number | 1013427855
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Entity Type | Organization
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Legal Business Name | JASON ALTMAN MD PA
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 10/06/2017
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Provider Practice Location Address
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Address Line | 550 BILTMORE WAY STE 120
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City | CORAL GABLES
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State | FL
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Zip | 33134-5779
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Country | US
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Telephone | 631-721-7337
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Fax | 631-909-8669
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Provider Business Mailing Address
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Address Line | 550 BILTMORE WAY STE 120
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City | CORAL GABLES
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State | FL
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Zip | 33134-5779
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Country | US
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Telephone | 631-721-7337
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Fax | 631-909-8669
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JANET FERRIS
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Credential |
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Telephone | 631-721-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME101023
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License Number State | FL
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