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General NPI Number Information
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NPI Number | 1164824397
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Entity Type | Organization
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Legal Business Name | INTENSIVE CARE EXPERTS HEALTH NETWORK LLC
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/25/2021
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Provider Practice Location Address
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Address Line | 701 N FEDERAL HWY # 601
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2449
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Country | US
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Telephone | 954-482-4747
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Fax | 954-301-5939
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Provider Business Mailing Address
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Address Line | 701 N FEDERAL HWY # 601
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2449
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Country | US
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Telephone | 954-482-4747
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Fax | 954-301-5939
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Authorized Official
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Title or Position | MGR
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Name | GUSTAVO FERRER
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Credential | MD
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Telephone | 954-482-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) 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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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