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General NPI Number Information
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NPI Number | 1447568522
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Entity Type | Organization
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Legal Business Name | EUGENIO MENENDEZ D.O., P.A.
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 1600 E ATLANTIC BLVD FIRST FLOOR
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6768
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Country | US
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Telephone | 954-942-2247
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Fax |
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Provider Business Mailing Address
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Address Line | 6278 N FEDERAL HWY SUITE 331
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-1916
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Country | US
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Telephone | 305-968-3912
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. EUGENIO LUIS MENENDEZ
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Credential | D.O.
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Telephone | 305-968-3912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS9361
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License Number State | FL
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