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General NPI Number Information
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NPI Number | 1629381397
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Entity Type | Organization
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Legal Business Name | AAA FLORIDA CLINIC, LLC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 1441 FOREST HILL BLVD STE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6095
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Country | US
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Telephone | 561-429-2181
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Fax | 561-429-2186
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Provider Business Mailing Address
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Address Line | 1441 FOREST HILL BLVD STE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6095
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Country | US
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Telephone | 561-429-2181
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Fax | 561-429-2186
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CONY GONZALEZ
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Credential |
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Telephone | 561-420-2181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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