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General NPI Number Information
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NPI Number | 1356774996
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Entity Type | Organization
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Legal Business Name | ELITE DIABETES AND ENDOCRINE SPECIALISTS LLC
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 2900 N MILITARY TRL STE 205
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City | BOCA RATON
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State | FL
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Zip | 33431-6308
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Country | US
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Telephone | 561-235-5980
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Fax | 855-364-4963
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Provider Business Mailing Address
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Address Line | 2900 N MILITARY TRL STE 205
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City | BOCA RATON
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State | FL
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Zip | 33431-6308
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Country | US
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Telephone | 561-235-5980
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Fax | 855-364-4963
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. EDNA TOKAYER
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Credential | M.D.
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Telephone | 561-235-5980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME83403
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License Number State | FL
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