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General NPI Number Information
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NPI Number | 1508838061
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Entity Type | Individual
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Provider Name | NEIL M NIREN MD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1131 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1226
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Country | US
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Telephone | 941-444-0011
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Fax | 603-952-3900
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Provider Business Mailing Address
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Address Line | 1629 ROYAL PALM WAY
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City | BOCA RATON
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State | FL
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Zip | 33432-7439
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Country | US
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Telephone | 412-401-8833
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD025703E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME105156
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License Number State | FL
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