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General NPI Number Information
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NPI Number | 1730581026
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Entity Type | Organization
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Legal Business Name | ALLAN GITTMAN, M.D., P.A.
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 3333 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6741
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Country | US
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Telephone | 954-296-2241
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Fax | 954-941-9950
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Provider Business Mailing Address
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Address Line | 3333 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6741
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Country | US
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Telephone | 954-296-2241
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Fax | 954-941-9950
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Authorized Official
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Title or Position | CONSULTANT
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Name | EARL BAGAN
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Credential |
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Telephone | 954-665-6326
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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 | ME51209
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License Number State | FL
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