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General NPI Number Information
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NPI Number | 1215926415
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Entity Type | Individual
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Provider Name | HUA FANG-PATRICK MD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 1951 SW 172ND AVE STE 410
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City | MIRAMAR
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State | FL
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Zip | 33029-5593
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Country | US
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Telephone | 954-499-0572
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Fax |
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Provider Business Mailing Address
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Address Line | 1951 SW 172ND AVE STE 410
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City | MIRAMAR
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State | FL
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Zip | 33029-5593
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Country | US
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Telephone | 954-499-0572
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Fax |
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | ME73730
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License Number State | FL
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