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General NPI Number Information
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NPI Number | 1801378617
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Entity Type | Organization
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Legal Business Name | HELLO DR M LLC
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 6140 SW 70TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3419
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Country | US
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Telephone | 305-284-7577
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Fax | 305-284-7761
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Provider Business Mailing Address
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Address Line | 2475 NW 16TH STREET RD
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City | MIAMI
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State | FL
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Zip | 33125-1299
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Country | US
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Telephone | 407-221-2313
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Fax | 305-284-7761
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SCOTT MORADIAN
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Credential | D.O.
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Telephone | 407-221-2313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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