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General NPI Number Information
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NPI Number | 1396269007
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Entity Type | Organization
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Legal Business Name | VIP PHYSICIANS CONSULTING LLC
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 500 SE 17TH ST STE 301
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2547
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Country | US
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Telephone | 954-880-3460
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Fax | 954-526-2550
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Provider Business Mailing Address
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Address Line | 757 SE 17TH ST STE 1228
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2960
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Country | US
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Telephone | 954-880-3460
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Fax | 954-526-2550
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Authorized Official
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Title or Position | PARTNER
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Name | MIKHAIL ZELFMAN
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Credential | D.O.
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Telephone | 954-880-3460
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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 |
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License Number State | NULL
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