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General NPI Number Information
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NPI Number | 1437526993
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Entity Type | Organization
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Legal Business Name | FORT LAUDERDALE NEPHROLOGY AND HYPERTENSION
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 5700 N FEDERAL HWY SUITE 6
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-2600
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Country | US
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Telephone | 954-958-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 N FEDERAL HWY SUITE 6
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-2600
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Country | US
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Telephone | 954-958-7576
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JORGE BARRERO
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Credential | M.D.
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Telephone | 954-958-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 9308369
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License Number State | FL
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