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General NPI Number Information
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NPI Number | 1093742678
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Entity Type | Organization
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Legal Business Name | ADULT & GERIATRIC INSTITUTE OF FLORIDA INC
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | COURT OF PALM AIRE 2701 N COURSE DRIVE
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City | POMPANO BEACH
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State | FL
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Zip | 33069
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Country | US
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Telephone | 954-489-1345
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Fax |
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Provider Business Mailing Address
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Address Line | 1608 E COMMERCIAL BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33334
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Country | US
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Telephone | 954-489-1345
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Fax |
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Authorized Official
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Title or Position | MD
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Name | ANDRES J MENCIA
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Credential | MD
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Telephone | 954-489-1345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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