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General NPI Number Information
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NPI Number | 1447608302
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Entity Type | Organization
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Legal Business Name | KEYZ INJURY, LLC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 9033 GLADES RD STE D
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City | BOCA RATON
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State | FL
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Zip | 33434-3939
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Country | US
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Telephone | 954-491-6969
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Fax | 888-426-8955
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Provider Business Mailing Address
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Address Line | 9033 GLADES RD STE D
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City | BOCA RATON
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State | FL
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Zip | 33434-3939
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Country | US
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Telephone | 954-491-6969
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Fax | 888-426-8955
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Authorized Official
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Title or Position | PRACTICE MANAGER/ADMINISTRATOR
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Name | MS. MARINA TABAKMAN
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Credential |
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Telephone | 954-491-6969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | FL
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