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General NPI Number Information
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NPI Number | 1518309434
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Entity Type | Organization
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Legal Business Name | EXPRESS DOCS, LLC
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 14530 S MILITARY TRL STE A1-5
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City | DELRAY BEACH
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State | FL
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Zip | 33484-3706
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Country | US
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Telephone | 561-381-0260
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Fax |
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Provider Business Mailing Address
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Address Line | 14530 S MILITARY TRL STE A1-5
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City | DELRAY BEACH
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State | FL
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Zip | 33484-3706
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Country | US
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Telephone | 561-381-0260
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Fax |
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Authorized Official
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Title or Position | MGMR
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Name | DR. ROY C MUSOFF
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Credential | M.D.
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Telephone | 561-702-4541
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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 |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 10723
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License Number State | FL
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