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General NPI Number Information
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NPI Number | 1417600636
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Entity Type | Organization
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Legal Business Name | AMICUS MEDICAL CENTER LLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 1500 E HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-4355
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Country | US
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Telephone | 954-428-1771
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR
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Name | JESSICA MARIE BONETTI
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Credential |
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Telephone | 305-500-2000
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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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