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General NPI Number Information
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NPI Number | 1649362765
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Entity Type | Organization
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Legal Business Name | SOUTH MIAMI HOSPITALIST INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 11750 BIRD ROAD
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-223-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 14050 NW 14TH STREET SUITE 190
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City | SUNRISE
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State | FL
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Zip | 33323
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Country | US
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Telephone | 800-424-3672
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Fax | 954-377-3042
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN G. HOLTZCLAW
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Credential | M.D.
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Telephone | 800-424-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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