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General NPI Number Information
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NPI Number | 1053374017
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Entity Type | Individual
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Provider Name | MARGARET J GORENSEK MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 4800 FEDERAL HIGHWAY SUITE 203
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-372-1038
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Fax | 954-489-2261
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Provider Business Mailing Address
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Address Line | 936 INTRACOSTAL DR #19B
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304
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Country | US
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Telephone | 954-292-2020
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Fax | 954-493-9472
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME0052072
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License Number State | FL
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