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General NPI Number Information
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NPI Number | 1205008745
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Entity Type | Organization
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Legal Business Name | NU INSTITUTE FOR AGE MANAGMENT
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1441 BRICKELL AVE 3RD FLOOR SKY LOBBY
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City | MIAMI
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State | FL
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Zip | 33131-3439
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Country | US
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Telephone | 305-625-0009
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Fax | 305-373-1175
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Provider Business Mailing Address
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Address Line | 1441 BRICKELL AVE 3RD FLOOR SKY LOBBY
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City | MIAMI
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State | FL
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Zip | 33131-3439
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Country | US
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Telephone | 305-625-0009
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Fax | 305-373-1175
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Authorized Official
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Title or Position | MANAGER
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Name | MR. STEPHEN WATSON
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Credential |
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Telephone | 305-624-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | FL
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