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General NPI Number Information
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NPI Number | 1487640256
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Entity Type | Individual
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Provider Name | ALLAN GITTMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3333 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6741
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Country | US
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Telephone | 954-941-8866
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Fax | 954-941-9950
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Provider Business Mailing Address
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Address Line | 3333 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6741
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Country | US
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Telephone | 954-941-8866
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Fax | 954-941-9950
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0051209
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License Number State | FL
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