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General NPI Number Information
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NPI Number | 1639297468
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Entity Type | Organization
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Legal Business Name | JBS MEDICAL PA
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 7280 W PALMETTO PARK RD STE 305
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City | BOCA RATON
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State | FL
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Zip | 33433-3401
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Country | US
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Telephone | 561-393-8800
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Fax | 561-393-6202
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Provider Business Mailing Address
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Address Line | 7280 W PALMETTO PARK RD STE 305
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City | BOCA RATON
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State | FL
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Zip | 33433-3401
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Country | US
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Telephone | 561-393-8800
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Fax | 561-393-6202
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW ROSENTHAL
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Credential | MD
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Telephone | 561-393-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME89367
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License Number State | FL
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