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General NPI Number Information
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NPI Number | 1699703660
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Entity Type | Organization
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Legal Business Name | NORTH BROWARD HOSPITAL DISTRICT
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1101 W BROWARD BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1638
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Country | US
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Telephone | 954-463-8119
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-463-8119
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Fax | 954-467-9588
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Authorized Official
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Title or Position | INTERIM CFO
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Name | MR. ALISA BERT
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Credential |
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Telephone | 954-847-4117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 16809
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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