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General NPI Number Information
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NPI Number | 1679712293
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA NEUROSURGICAL INSTITUTE INC
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 1201 S ANDREWS AVE SUITE 200
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1835
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Country | US
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Telephone | 954-376-7330
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Fax | 954-678-1049
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Provider Business Mailing Address
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Address Line | 1201 S ANDREWS AVE SUITE 200
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1835
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Country | US
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Telephone | 954-376-7330
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Fax | 954-678-1049
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY HALL
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Credential | MD
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Telephone | 954-376-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME67040
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License Number State | FL
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