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General NPI Number Information
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NPI Number | 1598900755
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Entity Type | Organization
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Legal Business Name | FLORIDA INTERNATIONAL JOINT INSTITUTE
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 101 NW 1ST AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33444-2684
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Country | US
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Telephone | 561-276-3401
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Fax |
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Provider Business Mailing Address
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Address Line | 101 NW 1ST AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33444-2684
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Country | US
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Telephone | 561-276-3401
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDGAR G. HANDAL
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Credential | M.D.
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Telephone | 561-276-3401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME65791
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License Number State | FL
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