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General NPI Number Information
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NPI Number | 1669930202
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Entity Type | Organization
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Legal Business Name | GPI MEDICAL CENTER,INC
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Dates
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Enumeration Date | 03/02/2019
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Last Update Date | 03/02/2019
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Provider Practice Location Address
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Address Line | 920 E SAMPLE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5131
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Country | US
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Telephone | 954-597-6637
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Fax | 954-597-6736
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Provider Business Mailing Address
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Address Line | 920 E SAMPLE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5131
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Country | US
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Telephone | 954-597-6637
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Fax | 954-597-6736
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARLOS R SOARES
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Credential |
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Telephone | 954-707-7674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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