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General NPI Number Information
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NPI Number | 1013616689
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Entity Type | Organization
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Legal Business Name | THE DERM GROUP LLP
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 11760 BIRD RD STE 451
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City | MIAMI
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State | FL
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Zip | 33175-3598
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Country | US
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Telephone | 305-245-1332
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Fax | 305-227-0658
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Provider Business Mailing Address
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Address Line | 11924 FOREST HILL BLVD STE 10A-411
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City | WELLINGTON
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State | FL
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Zip | 33414-6256
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Country | US
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Telephone | 786-648-4431
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THEODORE JOHN GIUFFRIDA
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Credential | MD
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Telephone | 305-461-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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