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General NPI Number Information
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NPI Number | 1467758383
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Entity Type | Organization
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Legal Business Name | DEAN L FISHMAN D.C., P.A.
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 1751 N UNIVERSITY DR
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City | PLANTATION
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State | FL
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Zip | 33322-4111
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Country | US
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Telephone | 954-577-6161
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Fax | 954-577-4447
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Provider Business Mailing Address
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Address Line | 1751 N UNIVERSITY DR
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City | PLANTATION
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State | FL
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Zip | 33322-4111
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Country | US
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Telephone | 954-577-6161
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Fax | 954-577-4447
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEAN L FISHMAN
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Credential | D.C.
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Telephone | 954-577-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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