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General NPI Number Information
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NPI Number | 1396710109
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Entity Type | Individual
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Provider Name | HENRY MICHAEL STORPER MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 9275 SW 152ND ST SUITE 108 B
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1701
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Country | US
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Telephone | 305-252-0533
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Fax | 305-252-0575
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Provider Business Mailing Address
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Address Line | 10535 SW 128TH TER
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City | MIAMI
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State | FL
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Zip | 33176-5545
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Country | US
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Telephone | 305-251-0679
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Fax | 305-252-0575
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME25917
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License Number State | FL
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