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General NPI Number Information
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NPI Number | 1386971356
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Entity Type | Organization
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Legal Business Name | EMIL MATEI PA
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 4050 SHERIDAN ST SUITE B
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3561
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Country | US
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Telephone | 954-889-0218
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Fax | 954-889-0213
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Provider Business Mailing Address
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Address Line | PO BOX 290306
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City | DAVIE
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State | FL
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Zip | 33329-0306
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Country | US
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Telephone | 954-612-7332
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Fax | 954-889-0213
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMIL MATEI
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Credential | D.O.
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Telephone | 954-889-0218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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