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General NPI Number Information
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NPI Number | 1225530553
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Entity Type | Organization
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Legal Business Name | REAL TIME PHYSICIANS, LLC
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 03/02/2018
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Provider Practice Location Address
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Address Line | 3855 W DIABLO DR STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89118-2343
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Country | US
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Telephone | 702-329-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 701 PARK OF COMMERCE BLVD STE 301
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City | BOCA RATON
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State | FL
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Zip | 33487-3604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | STEVEN GOLDBERG
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Credential |
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Telephone | 702-329-4514
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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 |
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License Number State |
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