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General NPI Number Information
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NPI Number | 1508837725
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Entity Type | Individual
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Provider Name | EUGENE A MISQUITH MD PA
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 901 45TH ST ST MARYS HOSPITAL
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2413
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Country | US
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Telephone | 561-844-6300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530396
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City | LAKE PARK
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State | FL
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Zip | 33403-8906
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Country | US
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Telephone | 561-351-7710
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Fax | 855-205-7185
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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 | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | ME58715
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License Number State | FL
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