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General NPI Number Information
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NPI Number | 1104181668
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Entity Type | Organization
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Legal Business Name | AMERICAN MARITIME OFFICERS MEDICAL PLAN
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 2 W DIXIE HWY
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City | DANIA BEACH
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State | FL
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Zip | 33004-4312
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Country | US
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Telephone | 954-922-7428
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Fax | 954-926-7245
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Provider Business Mailing Address
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Address Line | 2 W DIXIE HWY
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City | DANIA BEACH
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State | FL
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Zip | 33004-4312
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Country | US
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Telephone | 954-922-7428
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Fax | 954-926-7245
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | DANIEL CALNAN
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Credential | ESQUIRE
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Telephone | 954-922-7428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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