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General NPI Number Information
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NPI Number | 1871085324
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Entity Type | Organization
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Legal Business Name | PHYSICIAN PRACTICE PARTNERS LLC
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 3626 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125
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Country | US
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Telephone | 305-321-4782
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Fax |
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Provider Business Mailing Address
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Address Line | 14101 SW 88TH AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33176-7207
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Country | US
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Telephone | 305-321-4782
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. CHARLES FINDO
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Credential |
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Telephone | 305-321-4782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME67163
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License Number State | FL
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