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General NPI Number Information
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NPI Number | 1801343827
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Entity Type | Organization
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Legal Business Name | MWH MEDICAL CONSULTING, LLC
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 804 BRIDGEWOOD PL
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City | BOCA RATON
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State | FL
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Zip | 33434-4157
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Country | US
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Telephone | 561-430-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 804 BRIDGEWOOD PL
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City | BOCA RATON
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State | FL
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Zip | 33434-4157
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Country | US
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Telephone | 561-430-5277
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MARK STEVEN CUKIERMAN
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Credential | M.D.
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Telephone | 561-430-5277
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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 | ME82479
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License Number State | FL
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