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General NPI Number Information
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NPI Number | 1336244698
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Entity Type | Individual
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Provider Name | AROLD J. AUGUSTIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 4301 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33313-6749
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Country | US
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Telephone | 954-514-7712
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Fax | 954-544-5193
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Provider Business Mailing Address
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Address Line | 4301 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33313-6749
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Country | US
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Telephone | 954-514-7712
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME72155
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME72155
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME72155
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License Number State | FL
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