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General NPI Number Information
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NPI Number | 1063001238
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Entity Type | Organization
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Legal Business Name | HIGI CARE NETWORK (DE), P.A.
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 4500 N STATE ROAD 7 STE 102
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5868
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Country | US
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Telephone | 561-381-9258
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Fax |
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Provider Business Mailing Address
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Address Line | 382 NE 191ST ST STE 50294
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 303-898-6737
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Fax |
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Authorized Official
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Title or Position | VP, CLINICAL OPERATIONS & STRATEGY
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Name | ERIC JAMES CHIYEMBEKEZA
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Credential |
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Telephone | 561-568-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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