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General NPI Number Information
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NPI Number | 1437349339
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Entity Type | Organization
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Legal Business Name | AMERICAN MEDICINE, INC.
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 817 S UNIVERSITY DR SUITE 106
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City | PLANTATION
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State | FL
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Zip | 33324-3309
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Country | US
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Telephone | 954-723-0334
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Fax | 954-723-0807
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Provider Business Mailing Address
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Address Line | 817 S UNIVERSITY DR SUITE 106
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City | PLANTATION
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State | FL
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Zip | 33324-3309
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Country | US
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Telephone | 954-723-0334
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Fax | 954-723-0807
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. SHAHNAZ FATTEH
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Credential | M.D.
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Telephone | 954-723-0334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | ME63504
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | ME63504
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License Number State | FL
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