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General NPI Number Information
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NPI Number | 1851898936
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Entity Type | Organization
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Legal Business Name | EDUARDO JUSINO MD LLC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 3918 VIA POINCIANA STE 8
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City | LAKE WORTH
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State | FL
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Zip | 33467-2991
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Country | US
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Telephone | 561-568-6463
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Fax | 866-726-9519
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Provider Business Mailing Address
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Address Line | 9835 LAKE WORTH RD # 16-235
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City | LAKE WORTH
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State | FL
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Zip | 33467-2300
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Country | US
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Telephone | 787-457-1713
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDUARDO JUSINO
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Credential | MD
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Telephone | 787-457-1713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME127978
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License Number State | FL
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