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General NPI Number Information
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NPI Number | 1053077487
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Entity Type | Organization
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Legal Business Name | OCEAN PEDIATRICS, LLC
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 9401 COLLINS AVE UNIT 205
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City | SURFSIDE
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State | FL
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Zip | 33154-2606
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Country | US
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Telephone | 917-402-2635
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Fax |
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Provider Business Mailing Address
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Address Line | 9401 COLLINS AVE UNIT 205
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City | SURFSIDE
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State | FL
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Zip | 33154-2606
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Country | US
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Telephone | 917-402-2635
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MILICA SAPER
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Credential | M.D.
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Telephone | 917-402-2635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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