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General NPI Number Information
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NPI Number | 1578885950
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Entity Type | Organization
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Legal Business Name | REMBRANDT MOBILE DIAGNOSTICS INC
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 2717 W CYPRESS CREEK RD SUITE 800
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1703
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Country | US
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Telephone | 954-862-2246
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Fax | 954-862-2247
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Provider Business Mailing Address
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Address Line | 2717 W CYPRESS CREEK RD SUITE 800
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1703
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Country | US
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Telephone | 954-862-2246
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Fax | 954-862-2247
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES I WARSAGER
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Credential | R.T.
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Telephone | 954-862-2246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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