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General NPI Number Information
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NPI Number | 1134315773
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA NEUROSURGICAL INSTITUTE INC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 7710 NW 71ST CT SUITE 205
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City | TAMARAC
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State | FL
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Zip | 33321-2973
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Country | US
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Telephone | 954-376-7330
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Fax | 954-720-2799
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Provider Business Mailing Address
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Address Line | 7710 NW 71ST CT SUITE 205
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City | TAMARAC
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State | FL
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Zip | 33321-2973
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Country | US
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Telephone | 954-376-7330
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Fax | 954-720-2799
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY J HALL
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Credential | MD
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Telephone | 954-376-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME67040
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License Number State | FL
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