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General NPI Number Information
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NPI Number | 1740283720
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE BREAST CARE CENTERS
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 1380 NE MIAMI GARDENS DR STE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4708
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Country | US
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Telephone | 305-944-3132
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Fax | 305-944-3437
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Provider Business Mailing Address
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Address Line | 1380 NE MIAMI GARDENS DR STE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4708
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Country | US
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Telephone | 305-944-3132
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Fax | 305-944-3437
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JOSEPH OKSEMBERG
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Credential |
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Telephone | 305-944-3132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number | 3568228
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License Number State | FL
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