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General NPI Number Information
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NPI Number | 1487780045
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Entity Type | Organization
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Legal Business Name | THE MEDITREND GROUP, INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1725 N UNIVERSITY DR 2ND FL
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6089
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Country | US
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Telephone | 954-633-1008
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Fax | 954-633-1024
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Provider Business Mailing Address
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Address Line | 2030 W MCNAB RD SUITE 2
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-1002
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Country | US
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Telephone | 954-633-1008
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Fax | 954-633-1024
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Authorized Official
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Title or Position | CEO
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Name | MR. THOMAS DANIEL STERN
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Credential |
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Telephone | 954-633-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | FL
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