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General NPI Number Information
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NPI Number | 1386921567
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Entity Type | Organization
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Legal Business Name | NATALIA HEGEDOSH MD PA
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE 400
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 305-389-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 S OCEAN DR #2607
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATALIA HEGEDOSH
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Credential | MD
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Telephone | 305-389-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME102158
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License Number State | FL
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