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General NPI Number Information
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NPI Number | 1437261021
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Entity Type | Organization
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Legal Business Name | NAG XPRESS
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 152 NE 167TH ST SUITE 200
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3400
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Country | US
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Telephone | 305-770-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 152 NE 167TH ST SUITE 200
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3400
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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 | MEDICAL DIRECTOR
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Name | DAVID ROBBINS
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Credential |
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Telephone | 305-770-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | ME59343
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License Number State | FL
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