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General NPI Number Information
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NPI Number | 1689746356
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Entity Type | Individual
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Provider Name | ANDREW ROBERT ALTMAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 137 NW 100 AVENUE
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-577-5161
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Fax | 954-577-5191
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Provider Business Mailing Address
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Address Line | 1121 MARBLE WAY
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City | BOCA RATON
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State | FL
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Zip | 33432-3014
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Country | US
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Telephone | 954-850-7871
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME51770
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME51770
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License Number State | FL
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