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General NPI Number Information
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NPI Number | 1033706734
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Entity Type | Organization
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Legal Business Name | AD HEALTH
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 5810 S UNIVERSITY DR STE 113
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City | DAVIE
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State | FL
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Zip | 33328-6116
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Country | US
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Telephone | 516-784-8164
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Fax |
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Provider Business Mailing Address
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Address Line | 3520 N 52ND AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-2332
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Country | US
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Telephone | 516-784-8164
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Fax |
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Authorized Official
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Title or Position | NP
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Name | ATARA DAVIDSON
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Credential |
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Telephone | 516-784-8164
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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 |
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License Number State |
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