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General NPI Number Information
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NPI Number | 1366388795
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Entity Type | Organization
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Legal Business Name | MY FAMILY DOC, LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 2680 RIVIERA CT
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City | WESTON
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State | FL
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Zip | 33332-3419
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Country | US
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Telephone | 954-591-2654
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Fax | 954-691-3017
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Provider Business Mailing Address
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Address Line | 2680 RIVIERA CT
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City | WESTON
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State | FL
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Zip | 33332-3419
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Country | US
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Telephone | 954-591-2654
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Fax | 954-691-3017
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Authorized Official
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Title or Position | PRESIDENT
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Name | VANDHANA KISWANI-BARLEY
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Credential | MD
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Telephone | 954-591-2654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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