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General NPI Number Information
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NPI Number | 1659009413
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Entity Type | Organization
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Legal Business Name | TOPDOC MIAMI MEDICAL, INC.
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 1441 BRICKELL AVE STE 301
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City | MIAMI
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State | FL
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Zip | 33131-3439
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Country | US
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Telephone | 305-239-2789
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Fax | 786-591-0550
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Provider Business Mailing Address
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Address Line | 1441 BRICKELL AVE STE 301
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City | MIAMI
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State | FL
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Zip | 33131-3439
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Country | US
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Telephone | 305-239-2789
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Fax | 786-591-0550
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Authorized Official
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Title or Position | OWNER
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Name | LAURA PURDY
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Credential | MD
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Telephone | 423-217-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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