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General NPI Number Information
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NPI Number | 1306686258
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Entity Type | Organization
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Legal Business Name | DOCTOR UNITED GROUP INC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 5245 NW 36TH ST STE 5257
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5958
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Country | US
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Telephone | 305-404-8240
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Fax | 305-306-2184
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Provider Business Mailing Address
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Address Line | 5245 NW 36TH ST STE 5257
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5958
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Country | US
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Telephone | 305-404-8240
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Fax | 305-306-2184
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Authorized Official
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Title or Position | LEGAL & REGULATORY
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Name | WILLIAM MAYHOOD
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Credential | JD
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Telephone | 305-530-8949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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