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General NPI Number Information
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NPI Number | 1679540744
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Entity Type | Individual
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Provider Name | LAURENCE R FERBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 7062 S ALOYSIA AVE
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City | FLORAL CITY
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State | FL
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Zip | 34436-2844
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Country | US
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Telephone | 352-364-4038
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Fax | 352-419-4302
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Provider Business Mailing Address
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Address Line | 403 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4717
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Country | US
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Telephone | 352-726-3646
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Fax | 352-726-0079
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | ME85110
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME85110
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License Number State | FL
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