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General NPI Number Information
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NPI Number | 1750959888
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Entity Type | Individual
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Provider Name | DEVENDRA AUTAR DO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 7541 N STATE ROAD 7
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City | PARKLAND
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State | FL
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Zip | 33073-3510
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Country | US
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Telephone | 954-757-0140
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Fax | 954-757-0150
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Provider Business Mailing Address
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Address Line | 2600 S DOUGLAS RD STE 300
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City | CORAL GABLES
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State | FL
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Zip | 33134-6125
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Country | US
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Telephone | 305-913-9454
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Fax | 813-279-8086
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS21174
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License Number State | FL
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