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General NPI Number Information
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NPI Number | 1841499472
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Entity Type | Individual
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Provider Name | NEIL MIRANSKY D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 6200 SW 73RD ST 1 NORTH TOWER
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4679
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Country | US
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Telephone | 786-595-0164
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Fax | 786-533-9512
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Provider Business Mailing Address
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Address Line | PO BOX 198054
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City | ATLANTA
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State | GA
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Zip | 30384-8054
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Country | US
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Telephone | 786-595-0164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | OS 9791
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License Number State | FL
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