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General NPI Number Information
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NPI Number | 1679775621
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Entity Type | Individual
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Provider Name | AMY KLASH PULIDO MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 7600 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-4115
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Country | US
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Telephone | 954-265-5423
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Fax |
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Provider Business Mailing Address
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Address Line | 360 SE 11TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33060-8838
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Country | US
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Telephone | 305-924-6465
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME106151
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License Number State | FL
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