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General NPI Number Information
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NPI Number | 1831897149
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Entity Type | Organization
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Legal Business Name | MD BILLING BOUTIQUE INC.
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 18501 PINES BLVD STE 207B
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1420
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Country | US
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Telephone | 754-201-1202
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Fax | 786-524-0880
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Provider Business Mailing Address
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Address Line | 18501 PINES BLVD STE 207B
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1420
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Country | US
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Telephone | 754-201-1202
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Fax | 786-524-0880
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KRISTINA CADAVIECO
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Credential |
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Telephone | 754-244-9889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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