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General NPI Number Information
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NPI Number | 1386853455
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Entity Type | Organization
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Legal Business Name | HERBERT R SLAVIN MD
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 7200 W COMMERCIAL BLVD SUITE 210
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-748-8155
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Fax | 954-748-5022
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Provider Business Mailing Address
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Address Line | 7200 W COMMERCIAL BLVD SUITE 210
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-748-8155
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Fax | 954-748-5022
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Authorized Official
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Title or Position | OWNER
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Name | DR. HERBERT R SLAVIN
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Credential | MD
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Telephone | 954-748-8155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0036889
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License Number State | FL
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