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General NPI Number Information
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NPI Number | 1346460193
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Entity Type | Organization
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Legal Business Name | FLORIDA INTERNATIONAL UNIVERSITY
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 11200 SW 8TH ST FIU UNIVERSITY HEALTH SERVICES COMPLEX 280
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City | MIAMI
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State | FL
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Zip | 33199-0001
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Country | US
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Telephone | 305-348-3080
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Fax | 305-348-6655
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Provider Business Mailing Address
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Address Line | 11200 SW 8TH ST FIU UNIVERSITY HEALTH SERVICES COMPLEX 280
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City | MIAMI
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State | FL
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Zip | 33199-0001
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Country | US
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Telephone | 305-348-3080
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Fax | 305-348-6655
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ROBERT FRANKLIN DOLLINGER
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Credential | MD
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Telephone | 305-348-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number | ME0037619
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License Number State | FL
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