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General NPI Number Information
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NPI Number | 1558678896
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Entity Type | Organization
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Legal Business Name | GLOBAL MEDICAL ENTERPRISES
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 4050 SHERIDAN STREET SUITE C
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-439-5106
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Fax | 954-443-4035
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Provider Business Mailing Address
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Address Line | 10211 PINES BLVD BOX 128
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City | PEMBROKE PINES
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State | FL
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Zip | 33026
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Country | US
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Telephone | 954-439-5106
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Fax | 954-443-4035
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Authorized Official
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Title or Position | PHYSICIAN
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Name | LOUIS MOCCIA
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Credential | MD
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Telephone | 954-439-5106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME22742
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License Number State | FL
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