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General NPI Number Information
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NPI Number | 1669091666
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Entity Type | Organization
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Legal Business Name | PAMELA M. ERMINE, DO LLC
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 10151 ENTERPRISE CTR STE 102
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3760
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Country | US
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Telephone | 561-536-7884
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Fax | 561-336-3776
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Provider Business Mailing Address
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Address Line | 10151 ENTERPRISE CTR STE 102
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3760
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Country | US
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Telephone | 561-536-7884
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Fax | 561-336-3776
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAMELA ERMINE
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Credential | DO
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Telephone | 561-536-7884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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