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General NPI Number Information
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NPI Number | 1598535973
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Entity Type | Organization
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Legal Business Name | PRINCE OF PEACE MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2964 N STATE ROAD 7 STE 310
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City | MARGATE
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State | FL
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Zip | 33063-5715
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Country | US
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Telephone | 954-278-2646
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Fax | 954-278-2646
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Provider Business Mailing Address
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Address Line | 2964 N STATE ROAD 7 STE 310
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City | MARGATE
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State | FL
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Zip | 33063-5715
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Country | US
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Telephone | 954-606-6993
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Fax |
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Authorized Official
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Title or Position | MD
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Name | SLABINE ANTOINE MENELAS
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Credential |
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Telephone | 954-606-6993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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