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General NPI Number Information
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NPI Number | 1760951271
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Entity Type | Organization
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Legal Business Name | DOCTORS UNITED GROUP INC
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 311 NE 8TH ST STE 110
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City | HOMESTEAD
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State | FL
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Zip | 33030-4734
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Country | US
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Telephone | 305-712-2250
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Fax | 305-603-8461
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Provider Business Mailing Address
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Address Line | 6116 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33127-1112
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Country | US
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Telephone | 305-206-6196
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AUGUSTINE CARBON
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Credential |
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Telephone | 305-206-6196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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