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General NPI Number Information
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NPI Number | 1639695695
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Entity Type | Organization
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Legal Business Name | TOP CHOICE MEDICAL CARE LLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 17201 COLLINS AVE APT 3905
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3485
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Country | US
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Telephone | 305-331-0371
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Fax |
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Provider Business Mailing Address
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Address Line | 17201 COLLINS AVE APT 3905
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3485
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Country | US
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Telephone | 305-331-0371
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | MR. HAIM SAHALON
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Credential | MD
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Telephone | 305-331-0371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME101858
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License Number State | FL
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