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General NPI Number Information
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NPI Number | 1750316527
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Entity Type | Organization
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Legal Business Name | DPI OF NORTH BROWARD LLC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 6808 N STATE ROAD 7
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4304
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Country | US
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Telephone | 954-566-4551
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Fax | 954-566-4565
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Provider Business Mailing Address
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Address Line | PO BOX 5047
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City | FT LAUDERDALE
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State | FL
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Zip | 33310-5047
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Country | US
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Telephone | 954-566-4551
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Fax | 954-566-4565
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Authorized Official
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Title or Position | CEO
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Name | MR. HOWARD STEPHAN DEKKERS
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Credential |
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Telephone | 954-566-4551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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