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General NPI Number Information
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NPI Number | 1679193312
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Entity Type | Organization
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Legal Business Name | VPC MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 6416 SHERMAN PEAK CT
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City | CASTLE PINES
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State | CO
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Zip | 80108-9492
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Country | US
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Telephone | 239-357-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 433 PLAZA REAL STE 275
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City | BOCA RATON
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State | FL
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Zip | 33432-3999
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Country | US
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Telephone | 954-995-4701
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN C MOTARJEME
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Credential | MD
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Telephone | 239-357-6135
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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 |
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License Number State |
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