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General NPI Number Information
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NPI Number | 1144887274
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Entity Type | Organization
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Legal Business Name | EMBRYO DONATION INTERNATIONAL
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 12611 WORLD PLAZA LN BLDG 53
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City | FORT MYERS
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State | FL
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Zip | 33907-3990
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Country | US
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Telephone | 239-275-5728
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Fax |
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Provider Business Mailing Address
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Address Line | 12611 WORLD PLAZA LN BLDG 53
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City | FORT MYERS
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State | FL
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Zip | 33907-3990
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Country | US
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Telephone | 239-275-5728
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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. CRAIG SWEET
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Credential | MD
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Telephone | 239-275-5728
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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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