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General NPI Number Information
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NPI Number | 1346987005
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Entity Type | Organization
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Legal Business Name | MIAMI BEACH TMS PLLC
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Dates
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Enumeration Date | 05/15/2022
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Last Update Date | 05/15/2022
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Provider Practice Location Address
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Address Line | 975 ARTHUR GODFREY RD STE 305
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3350
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Country | US
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Telephone | 305-490-1989
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 ROYAL PALM AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3039
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DURIM BOZHDARAJ
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Credential | MD
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Telephone | 305-585-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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