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General NPI Number Information
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NPI Number | 1598173296
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Entity Type | Organization
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Legal Business Name | HOMESTEAD MEDICAL RESEARCH, INC.
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 830 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4407
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Country | US
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Telephone | 786-339-8454
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Fax | 786-601-2705
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Provider Business Mailing Address
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Address Line | 830 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4407
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Country | US
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Telephone | 786-339-8454
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Fax | 786-601-2705
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL FELDMAN
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Credential | DO
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Telephone | 786-339-8454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | ME62377
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | OS5477
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License Number State | FL
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