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General NPI Number Information
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NPI Number | 1831153022
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Entity Type | Organization
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Legal Business Name | LITZENBLATT PEICHER & LOPEZ
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 4701 N FEDERAL HWY SUITE A-10
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4608
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Country | US
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Telephone | 954-351-1100
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Fax | 954-351-1197
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Provider Business Mailing Address
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Address Line | 4701 N FEDERAL HWY SUITE A-10
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4608
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Country | US
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Telephone | 954-351-1100
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Fax | 954-351-1197
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRA M LITZENBLATT
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Credential | M.D.
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Telephone | 954-351-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME 36265
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License Number State | FL
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