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General NPI Number Information
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NPI Number | 1720001191
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Entity Type | Organization
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Legal Business Name | AVENTURA ENDOCRINE ASSOCIATES PA
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 2801 NE 213TH ST STE 1015
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City | AVENTURA
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State | FL
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Zip | 33180-1266
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Country | US
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Telephone | 305-937-3000
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Fax | 888-268-0675
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Provider Business Mailing Address
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Address Line | 2801 NE 213TH ST STE 1015
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City | AVENTURA
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State | FL
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Zip | 33180-1266
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Country | US
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Telephone | 305-937-3000
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Fax | 888-268-0675
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Authorized Official
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Title or Position | VP
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Name | LEONARD THALER
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Credential | MD
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Telephone | 305-937-3000
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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 | ME58021
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License Number State | FL
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