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General NPI Number Information
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NPI Number | 1144607672
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Entity Type | Organization
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Legal Business Name | ECB MEDICAL DR THERAPY INC
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 5190 NW 167TH ST STE 102
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6328
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Country | US
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Telephone | 786-458-2941
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Fax | 305-458-6379
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Provider Business Mailing Address
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Address Line | 5190 NW 167TH ST STE 102
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6328
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Country | US
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Telephone | 786-458-2941
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Fax | 305-458-6379
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Authorized Official
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Title or Position | P
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Name | FRANKLIN D SAUMEL
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Credential | MD
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Telephone | 786-458-2941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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