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General NPI Number Information
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NPI Number | 1194223586
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Entity Type | Organization
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Legal Business Name | HHD2GO, LLC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 8925 SW 148TH ST STE 110
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City | PALMETTO BAY
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State | FL
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Zip | 33176-8000
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Country | US
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Telephone | 407-808-1901
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Fax | 305-279-3934
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Provider Business Mailing Address
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Address Line | 2525 PONCE DE LEON BLVD STE 1225
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City | CORAL GABLES
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State | FL
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Zip | 33134-6049
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Country | US
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Telephone | 407-808-1901
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Fax | 305-279-3934
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MR. DANIEL W JEFFERS
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Credential |
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Telephone | 407-808-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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