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General NPI Number Information
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NPI Number | 1114583309
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Entity Type | Organization
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Legal Business Name | DOCTORS UNITED GROUP INC
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 714 NW 62ND ST
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City | MIAMI
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State | FL
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Zip | 33150-4332
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Country | US
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Telephone | 305-603-8200
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Fax | 305-603-8461
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Provider Business Mailing Address
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Address Line | 714 NW 62ND ST
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City | MIAMI
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State | FL
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Zip | 33150-4332
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Country | US
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Telephone | 305-603-8200
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Fax | 305-603-8461
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AUGUSTIN CARBON
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Credential |
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Telephone | 305-206-6196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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