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General NPI Number Information
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NPI Number | 1760842041
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Entity Type | Organization
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Legal Business Name | MILLAKE HEALTHCARE OF LAUDERHILL
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 7200 W COMMERCIAL BLVD SUITE 201
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-748-6665
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Fax | 954-746-0310
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Provider Business Mailing Address
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Address Line | 7200 W COMMERCIAL BLVD STE 201
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-748-6665
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Fax | 954-746-0310
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID ABELLARD
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Credential | M.D.
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Telephone | 561-433-4446
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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 | ME0047706
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License Number State | FL
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