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General NPI Number Information
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NPI Number | 1548534878
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Entity Type | Organization
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Legal Business Name | DEERFIELD MEDICAL CENTER,INC
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 7522 WILES RD SUITE B-213
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2062
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Country | US
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Telephone | 954-345-5556
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Fax | 954-338-5371
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Provider Business Mailing Address
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Address Line | 7522 WILES RD SUITE B-213
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2062
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Country | US
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Telephone | 954-345-5556
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Fax | 954-338-5371
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Authorized Official
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Title or Position | MANGER
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Name | MR. RICHARD F BOTERO
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Credential |
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Telephone | 754-242-1985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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