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General NPI Number Information
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NPI Number | 1528278090
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Entity Type | Organization
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Legal Business Name | FASTER TREATMENT CENTER INC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 951 SW LE JEUNE RD SUITE 304
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City | MIAMI
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State | FL
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Zip | 33134-2616
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Country | US
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Telephone | 305-445-8282
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Fax | 305-445-8286
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Provider Business Mailing Address
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Address Line | 951 SW LE JEUNE RD SUITE 304
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City | MIAMI
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State | FL
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Zip | 33134-2616
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Country | US
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Telephone | 305-445-8282
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Fax | 305-445-8286
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Authorized Official
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Title or Position | PRESIDENT
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Name | OSMANI DORTA
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Credential |
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Telephone | 305-445-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | HCC7195
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License Number State | FL
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