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General NPI Number Information
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NPI Number | 1396924734
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Entity Type | Individual
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Provider Name | MOHAMED ERRITOUNI MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 13550 JOG ROAD
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City | DELRAY BEACH
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State | FL
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Zip | 33446
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Country | US
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Telephone | 561-495-9289
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Fax |
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Provider Business Mailing Address
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Address Line | 9083 RUTLEDGE AVE
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City | BOCA RATON
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State | FL
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Zip | 33434-5910
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Country | US
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Telephone | 516-840-7546
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 246256
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME107904
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License Number State | FL
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