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General NPI Number Information
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NPI Number | 1699234534
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Entity Type | Organization
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Legal Business Name | BREAST SPECIALISTS OF SOUTH FLORIDA, LLC
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 130 JFK DR STE 132
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City | ATLANTIS
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State | FL
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Zip | 33462-1133
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Country | US
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Telephone | 561-510-2337
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Fax | 561-510-2340
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Provider Business Mailing Address
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Address Line | 130 JFK DR STE 132
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City | ATLANTIS
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State | FL
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Zip | 33462-1133
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Country | US
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Telephone | 561-510-2337
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Fax | 561-510-2340
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUNE J LEE
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Credential | MD
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Telephone | 561-510-2337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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