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General NPI Number Information
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NPI Number | 1366852766
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Entity Type | Organization
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Legal Business Name | DOVE MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 2901 W OAKLAND PARK BLVD A 4-5
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City | OAKLAND PARK
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State | FL
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Zip | 33311
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Country | US
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Telephone | 954-510-3687
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Fax | 754-263-5518
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Provider Business Mailing Address
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Address Line | 2901 W OAKLAND PARK BLVD A 4-5
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City | OAKLAND PARK
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State | FL
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Zip | 33311
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Country | US
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Telephone | 954-510-3687
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Fax | 754-263-5518
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. KERVIE PIERRE DORVAL
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Credential | NP
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Telephone | 954-683-0137
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 9101758
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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