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General NPI Number Information
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NPI Number | 1740576305
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Entity Type | Organization
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Legal Business Name | CHARLES A. AUGUSTUS II, M.D., P.A.
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 950 N KROME AVE STE 403
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City | HOMESTEAD
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State | FL
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Zip | 33030-4443
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Country | US
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Telephone | 305-245-1611
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Fax | 305-245-8898
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Provider Business Mailing Address
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Address Line | 950 N KROME AVE STE 403
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City | HOMESTEAD
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State | FL
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Zip | 33030-4443
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Country | US
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Telephone | 305-245-1611
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Fax | 305-245-8898
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Authorized Official
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Title or Position | CLERK
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Name | MRS. DEBBIE RUFIN
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Credential |
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Telephone | 305-245-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME 42610
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License Number State | FL
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