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General NPI Number Information
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NPI Number | 1821306564
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Entity Type | Organization
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Legal Business Name | HEALTH MANAGEMENT MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 7800 N UNIVERSITY DR 101-102
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City | TAMARAC
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State | FL
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Zip | 33321-2128
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Country | US
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Telephone | 954-726-1662
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Fax | 954-726-1678
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Provider Business Mailing Address
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Address Line | 7800 N UNIVERSITY DR 101-102
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City | TAMARAC
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State | FL
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Zip | 33321-2128
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Country | US
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Telephone | 954-726-1662
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Fax | 954-726-1678
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Authorized Official
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Title or Position | CLINICAL MANAGER
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Name | DR. HIEN LE
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Credential | PHARM.D
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Telephone | 407-749-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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