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General NPI Number Information
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NPI Number | 1780147678
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Entity Type | Organization
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Legal Business Name | TELEEMC LLC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 21346 ST. ANDREWS BLVD. SUITE 195
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City | BOCA RATON
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State | FL
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Zip | 33433
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Country | US
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Telephone | 866-611-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 21346 SAINT ANDREWS BLVD STE 195
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City | BOCA RATON
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State | FL
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Zip | 33433-2432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARIUS GED
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Credential |
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Telephone | 561-302-2518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number |
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License Number State |
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