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General NPI Number Information
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NPI Number | 1356680706
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Entity Type | Organization
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Legal Business Name | WEBB MEDICALL LLC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 7085 NW 84TH AVE
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City | PARKLAND
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State | FL
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Zip | 33067-1014
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Country | US
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Telephone | 561-866-7026
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Fax |
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Provider Business Mailing Address
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Address Line | 6574 N STATE ROAD 7 SUITE 167
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3625
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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 | MRS. MYRA MAZLIN
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Credential |
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Telephone | 561-866-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1182592
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License Number State | FL
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