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General NPI Number Information
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NPI Number | 1528442092
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Entity Type | Individual
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Provider Name | JEAN-ROBERT DUMAS MT
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Gender | Male
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 115 S 17TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6801
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Country | US
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Telephone | 954-505-7301
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Fax | 954-505-7302
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Provider Business Mailing Address
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Address Line | 115 S 17TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6801
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Country | US
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Telephone | 954-505-7301
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Fax | 954-505-7302
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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 | 246QC1000X
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Taxonomy Name | Chemistry Pathology Specialist/Technologist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 246QH0000X
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Taxonomy Name | Hematology Specialist/Technologist
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 246QM0900X
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Taxonomy Name | Microbiology Specialist/Technologist
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State | FL
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