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General NPI Number Information
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NPI Number | 1104047570
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Entity Type | Organization
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Legal Business Name | MICHAEL HIRSCH MD PA
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 601 N FLAMINGO RD SUITE 103
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1015
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Country | US
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Telephone | 954-436-9090
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Fax | 954-433-0850
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Provider Business Mailing Address
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Address Line | 601 N FLAMINGO RD SUITE 103
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1015
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Country | US
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Telephone | 954-436-9090
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Fax | 954-433-0850
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL HIRSCH
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Credential | D.O
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Telephone | 954-436-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS 8703
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License Number State | FL
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