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General NPI Number Information
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NPI Number | 1285686337
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Entity Type | Organization
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Legal Business Name | FLORIDA ATLANTIC ANESTHESIA
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 1960 NE 47TH ST 2ND FLOOR
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7708
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Country | US
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Telephone | 954-493-5005
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Fax | 954-938-0957
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Provider Business Mailing Address
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Address Line | 1960 NE 47TH ST 2ND FLOOR
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7708
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Country | US
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Telephone | 954-493-5005
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Fax | 954-938-0957
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. VALENTINA PALMA
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Credential |
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Telephone | 954-493-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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