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General NPI Number Information
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NPI Number | 1780906982
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Entity Type | Organization
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Legal Business Name | VARIETY CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 11750 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33175-3530
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Country | US
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Telephone | 305-229-2434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 557367
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City | MIAMI
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State | FL
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Zip | 33255-7367
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Country | US
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Telephone | 786-624-5845
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Fax | 786-624-2688
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Authorized Official
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Title or Position | SENIOR VP AND CFO
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Name | TIMOTHY BIRKENSTOCK
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Credential |
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Telephone | 305-666-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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