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General NPI Number Information
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NPI Number | 1144102377
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Entity Type | Organization
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Legal Business Name | BARDOS FERTILITY LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1108 KANE CONCOURSE STE 225
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2069
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Country | US
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Telephone | 305-482-3813
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 KANE CONCOURSE STE 225
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2069
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Country | US
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Telephone | 305-482-3813
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JONAH BARDOS
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Credential | MD
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Telephone | 305-482-3813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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