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General NPI Number Information
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NPI Number | 1033475900
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Entity Type | Organization
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Legal Business Name | SCIBERRAS INTERNAL MEDICINE INC
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 101 S FEDERAL HWY
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City | DANIA BEACH
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State | FL
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Zip | 33004-3622
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Country | US
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Telephone | 954-399-9941
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Fax | 954-399-9987
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Provider Business Mailing Address
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Address Line | 3801 S OCEAN DR 5F
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2925
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Country | US
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Telephone | 718-510-2561
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA SCIBERRAS
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Credential | D.O.
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Telephone | 954-399-9941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OS 9687
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License Number State | FL
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