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General NPI Number Information
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NPI Number | 1235584160
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA PEDIATRIC HOSPITALISTS
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 17105 GULF PINE CIR
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City | WELLINGTON
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State | FL
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Zip | 33414-6354
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Country | US
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Telephone | 561-445-8203
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Fax | 561-828-6236
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Provider Business Mailing Address
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Address Line | 17105 GULF PINE CIR
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City | WELLINGTON
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State | FL
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Zip | 33414-6354
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Country | US
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Telephone | 561-445-8203
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Fax | 561-828-6236
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTEN ANN MARANTE
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Credential | RN
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Telephone | 561-445-8203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number |
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License Number State |
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