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General NPI Number Information
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NPI Number | 1558524827
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Entity Type | Organization
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Legal Business Name | MATTHEW C DEUTSCHER MD PA
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 831 CORAL RIDGE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4180
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Country | US
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Telephone | 954-344-0303
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Fax | 954-344-0010
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Provider Business Mailing Address
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Address Line | 831 CORAL RIDGE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4180
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Country | US
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Telephone | 954-344-0303
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Fax | 954-344-0010
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW CARL DEUTSCHER
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Credential | M.D.
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Telephone | 954-344-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0054767
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License Number State | FL
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