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General NPI Number Information
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NPI Number | 1275577553
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Entity Type | Organization
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Legal Business Name | SETH GOTTLIEB, M.D.,P.A.
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 4302 ALTON RD STE 710
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2877
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Country | US
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Telephone | 305-534-2155
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Fax | 305-534-2035
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Provider Business Mailing Address
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Address Line | 4302 ALTON RD STE 710
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2877
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Country | US
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Telephone | 305-534-2155
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Fax | 305-534-2035
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Authorized Official
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Title or Position | OWNER
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Name | DR. SETH GOTTLIEB
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Credential | MD
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Telephone | 305-534-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME 68259
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License Number State | FL
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