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General NPI Number Information
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NPI Number | 1629604913
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MD
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 1301 E BROWARD BLVD STE 220
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2111
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Country | US
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Telephone | 754-216-0788
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 E BROWARD BLVD STE 220
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DAVID GREENWALD
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Credential | MD
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Telephone | 754-216-0788
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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