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General NPI Number Information
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NPI Number | 1548427248
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Entity Type | Organization
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Legal Business Name | FLORIDA ATLANTIC ORTHOPEDICS LLC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 301 CAMINO GARDENS BLVD SUITE 201
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City | BOCA RATON
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State | FL
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Zip | 33432-5823
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Country | US
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Telephone | 561-394-8770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14657
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City | CLEARWATER
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State | FL
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Zip | 33766-4657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | XAVIER ESCOBAR
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Credential | DC
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Telephone | 954-729-5605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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