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General NPI Number Information
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NPI Number | 1134120827
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Entity Type | Individual
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Provider Name | OMAR JOSE BRITO MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6517 TAFT ST SUITE 2007
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City | HOLLYWOOD
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State | FL
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Zip | 33024-4048
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Country | US
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Telephone | 954-989-9825
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Fax | 954-989-9826
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Provider Business Mailing Address
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Address Line | 2334 SW 130TH TER
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City | MIRAMAR
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State | FL
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Zip | 33027-2657
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Country | US
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Telephone | 954-499-7609
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Fax | 954-450-2017
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME 37203
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License Number State | FL
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