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General NPI Number Information
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NPI Number | 1376581280
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Entity Type | Organization
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Legal Business Name | HAMPTONS MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 1590 NW 10TH AVE SUITE #201
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City | BOCA RATON
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State | FL
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Zip | 33486-1313
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Country | US
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Telephone | 561-368-2714
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Fax | 561-368-9929
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Provider Business Mailing Address
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Address Line | 1590 NW 10TH AVE SUITE #201
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City | BOCA RATON
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State | FL
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Zip | 33486-1313
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Country | US
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Telephone | 561-368-2714
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Fax | 561-368-9929
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. STEVEN V. CARIDI
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Credential | M.D.
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Telephone | 561-368-2714
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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 | ME093459
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License Number State | FL
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