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General NPI Number Information
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NPI Number | 1548532823
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Entity Type | Organization
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Legal Business Name | MINORITY DEVELOPMENT & EMPOWERMENT, INC.
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 5225 NW 33RD AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6302
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Country | US
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Telephone | 954-315-4530
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Fax | 954-763-8567
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Provider Business Mailing Address
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Address Line | 5225 NW 33RD AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6302
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Country | US
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Telephone | 954-315-4530
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Fax | 954-763-8567
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Authorized Official
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Title or Position | CEO
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Name | MR. FRANCOIS LECONTE
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Credential |
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Telephone | 954-315-4530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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