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General NPI Number Information
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NPI Number | 1144473323
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Entity Type | Organization
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Legal Business Name | ELLIOT M WORTZEL MD PA
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 201 NW 82ND AVE #305
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City | PLANTATION
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State | FL
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Zip | 33324-7808
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Country | US
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Telephone | 954-370-1053
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Fax |
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Provider Business Mailing Address
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Address Line | 201 NW 82ND AVE #305
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City | PLANTATION
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State | FL
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Zip | 33324-7808
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Country | US
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Telephone | 954-370-1053
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELLIOT M WORTZEL
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Credential | MD
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Telephone | 954-473-5304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME22208
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License Number State | FL
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