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General NPI Number Information
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NPI Number | 1528049194
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Entity Type | Individual
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Provider Name | DR. RANDALL MARK TAUBMAN
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 3345 BURNS RD STE 302
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4321
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Country | US
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Telephone | 561-622-7661
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4590
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City | OCALA
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State | FL
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Zip | 34478-4590
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Country | US
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Telephone | 352-509-9900
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Fax | 352-387-2584
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME89977
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License Number State | FL
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