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General NPI Number Information
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NPI Number | 1013463330
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Entity Type | Organization
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Legal Business Name | GBMT PLLC
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 875 MEADOWS RD SUITE 311
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City | BOCA RATON
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State | FL
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Zip | 33486-2349
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Country | US
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Telephone | 205-787-8676
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Fax | 205-785-7944
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Provider Business Mailing Address
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Address Line | 875 MEADOWS ROAD SUITE 311
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City | BOCA RATON
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State | FL
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Zip | 33486
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Country | US
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Telephone | 205-787-8676
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Fax | 205-785-7944
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RESIT CEM CEZAYIRLI
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Credential | M.D
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Telephone | 205-787-8676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME114388
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License Number State | FL
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