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General NPI Number Information
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NPI Number | 1033028477
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Entity Type | Organization
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Legal Business Name | ADVANCED TELEMED INC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 7950 NW 53RD ST STE 337
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City | MIAMI
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State | FL
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Zip | 33166-4791
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Country | US
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Telephone | 813-433-1105
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Fax |
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Provider Business Mailing Address
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Address Line | 7950 NW 53RD ST STE 337
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City | MIAMI
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State | FL
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Zip | 33166-4791
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Country | US
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Telephone | 813-433-1105
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NIRAV DALAL
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Credential |
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Telephone | 813-433-1105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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