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General NPI Number Information
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NPI Number | 1144098906
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Entity Type | Organization
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Legal Business Name | GSD HEALTHCARE MANAGEMENT, INC.
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 2209 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 305-299-5881
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Fax |
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Provider Business Mailing Address
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Address Line | 9214 NW 48TH ST
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City | SUNRISE
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State | FL
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Zip | 33351-5216
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Country | US
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Telephone | 305-299-5881
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CONSTANCE CARLISLE
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Credential |
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Telephone | 305-299-5881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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