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General NPI Number Information
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NPI Number | 1720002363
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Entity Type | Organization
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Legal Business Name | BROWARD KIDNEY CONSULTANTS
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 315 SE 13TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1923
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Country | US
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Telephone | 954-767-5900
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Fax | 954-767-6070
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Provider Business Mailing Address
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Address Line | 315 SE 13TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1923
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Country | US
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Telephone | 954-767-5900
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Fax | 954-767-6070
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CUELI
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Credential | M.D.
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Telephone | 954-767-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | OS12532
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME60254
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME116060
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License Number State | FL
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