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General NPI Number Information
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NPI Number | 1568794923
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Entity Type | Organization
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Legal Business Name | CAROLE TAUB MD PC
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1779 N UNIVERSITY DR
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City | HOLLYWOOD
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State | FL
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Zip | 33024-0929
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Country | US
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Telephone | 954-964-6281
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 KENSINGTON BLVD
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City | DAVIE
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State | FL
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Zip | 33325-5242
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Country | US
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Telephone | 917-757-8655
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLE ELIZABETH TAUB
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Credential | MD
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Telephone | 917-757-8655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 206304
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License Number State | NY
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