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General NPI Number Information
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NPI Number | 1205074150
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Entity Type | Organization
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Legal Business Name | UNIVERSITY MEDICAL, INC.
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 233 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6715
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Country | US
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Telephone | 954-983-1119
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Fax | 954-983-1929
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Provider Business Mailing Address
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Address Line | 233 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6715
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Country | US
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Telephone | 954-983-1119
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Fax | 954-983-1929
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID HIRSCHENSON
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Credential | D.C.
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Telephone | 954-983-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME63889
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License Number State | FL
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