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General NPI Number Information
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NPI Number | 1235686783
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Entity Type | Organization
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Legal Business Name | ICAN BENEFIT GROUP
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 2251 NORTH FEDERAL HIGHWAY
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City | POMPANO BEACH
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State | FL
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Zip | 33062
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Country | US
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Telephone | 180-034-4609
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 BROKEN SOUND BLVD 200
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City | BOCA RATON
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State | FL
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Zip | 33487-3520
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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 | AGENT
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Name | DEAN SABOTKA
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Credential |
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Telephone | 954-588-7196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State | FL
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