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General NPI Number Information
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NPI Number | 1124307780
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Entity Type | Organization
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Legal Business Name | GERMEIL MEDICAL INC
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 951 NE 167TH ST SUITE 234
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3711
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Country | US
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Telephone | 305-705-2895
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W ISLAND BLVD APT 1603
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City | AVENTURA
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State | FL
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Zip | 33160-5203
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Country | US
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Telephone | 305-705-2895
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Fax | 239-206-1970
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Authorized Official
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Title or Position | CEO
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Name | JEANNE E GERMEIL
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Credential | MD
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Telephone | 239-961-5743
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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 | ME 100222
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License Number State | FL
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