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General NPI Number Information
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NPI Number | 1780173708
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Entity Type | Individual
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Provider Name | BERTRAND FABIEN EBNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 7777 DAVIE ROAD EXT STE 100B
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2524
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Country | US
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Telephone | 543-623-4269
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Fax | 954-362-3432
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Provider Business Mailing Address
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Address Line | 7777 DAVIE ROAD EXT STE 100B
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2524
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Country | US
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Telephone | 543-623-4269
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Fax |
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME171558
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License Number State | FL
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