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General NPI Number Information
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NPI Number | 1407030315
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Entity Type | Organization
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Legal Business Name | DIMITRIOS LINTZERIS, DO, PA
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 1800 N FEDERAL HWY SUITE 207-8
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1034
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Country | US
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Telephone | 561-706-5920
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Fax |
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Provider Business Mailing Address
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Address Line | 999 BRICKELL BAY DR APT 808
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City | MIAMI
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State | FL
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Zip | 33131-2934
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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 | DR. DIMITRIOS P LINTZERIS
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Credential | D.O.
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Telephone | 561-706-5920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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