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General NPI Number Information
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NPI Number | 1720121585
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Entity Type | Individual
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Provider Name | BRETT EMERSON FORTUNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1801 NW 9TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1101
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Country | US
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Telephone | 305-355-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 S MIAMI AVE APT 1201
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City | MIAMI
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State | FL
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Zip | 33130-4163
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Country | US
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Telephone | 614-425-7407
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35088963
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | ME177299
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 283730
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 051154
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License Number State | CT
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