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General NPI Number Information
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NPI Number | 1023407780
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Entity Type | Organization
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Legal Business Name | ENL MD PA
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 14201 S DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33176-7224
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Country | US
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Telephone | 786-342-8082
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Fax | 800-404-0732
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Provider Business Mailing Address
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Address Line | 11767 S DIXIE HWY SUITE 357
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City | MIAMI
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State | FL
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Zip | 33156-4438
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Country | US
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Telephone | 786-342-8082
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Fax | 800-404-0732
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELLIOT N LANG
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Credential | MD
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Telephone | 786-342-8082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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