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General NPI Number Information
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NPI Number | 1033874490
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Entity Type | Organization
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Legal Business Name | DOVE MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 16751 NE 6TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2409
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Country | US
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Telephone | 786-657-2650
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Fax | 786-657-2648
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Provider Business Mailing Address
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Address Line | 2901 W OAKLAND PARK BLVD STE A4
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1236
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Country | US
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Telephone | 786-657-2650
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Fax | 786-657-2648
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | MRS. KERVIE PIERRE DORVAL
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Credential | NP
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Telephone | 786-657-2650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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