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General NPI Number Information
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NPI Number | 1225273949
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Entity Type | Organization
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Legal Business Name | MICHAEL N FUNK MD PA
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 2960 N STATE ROAD 7 102
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City | MARGATE
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State | FL
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Zip | 33063-5755
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Country | US
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Telephone | 954-973-1880
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Fax | 954-973-1882
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Provider Business Mailing Address
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Address Line | 2960 N STATE ROAD 7 102
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City | MARGATE
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State | FL
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Zip | 33063-5755
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Country | US
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Telephone | 954-973-1880
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Fax | 954-973-1882
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL N FUNK
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Credential | MD
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Telephone | 954-973-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME95185
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License Number State | FL
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