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General NPI Number Information
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NPI Number | 1164710935
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Entity Type | Individual
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Provider Name | JAMILAH GRANT-GUIMARAES MD
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 789 S FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1245
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Country | US
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Telephone | 954-315-5784
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Fax | 954-522-0755
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Provider Business Mailing Address
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Address Line | 900 S PINE ISLAND RD SUITE 800
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City | PLANTATION
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State | FL
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Zip | 33324-3920
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Country | US
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Telephone | 954-315-5784
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Fax | 954-522-0755
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME128091
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME128091
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License Number State | FL
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