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General NPI Number Information
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NPI Number | 1356664312
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Entity Type | Organization
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Legal Business Name | VANGUARD MEDICAL ASSOCIATES OF SOUTH FLORIDA PA
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 5430 NW 33RD AVE SUITE 106 - ATTENTION DR. MARC KAPROW
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6349
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Country | US
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Telephone | 954-642-2280
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 292083
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City | DAVIE
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State | FL
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Zip | 33329-2083
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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 | PRESIDENT
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Name | DR. MARC G KAPROW
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Credential | DO
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Telephone | 954-642-2280
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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 | OS-9129
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License Number State | FL
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