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General NPI Number Information
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NPI Number | 1376861856
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Entity Type | Organization
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Legal Business Name | VLADISLAVA CULINA, MD P.A.
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Dates
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Enumeration Date | 05/09/2010
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 1250 E HALLANDALE BEACH BLVD SUITE 604
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4634
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Country | US
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Telephone | 954-322-0020
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Fax | 954-367-2808
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Provider Business Mailing Address
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Address Line | PO BOX 85130
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City | HALLANDALE
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State | FL
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Zip | 33008-5130
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Country | US
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Telephone | 954-322-0020
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Fax | 954-367-2808
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VLADISLAVA CULINA
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Credential | M.D.
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Telephone | 954-322-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | ME98601
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License Number State | FL
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