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General NPI Number Information
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NPI Number | 1437892932
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Entity Type | Organization
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Legal Business Name | ENDOCRINE CARE OF BOCA RATON PLLC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 951 NW 13TH ST STE 3D
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-889-0388
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Fax |
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Provider Business Mailing Address
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Address Line | 951 NW 13TH ST STE 3D
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-889-0388
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MILAD KHOURY
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Credential | MD
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Telephone | 954-556-0388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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