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General NPI Number Information
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NPI Number | 1891948394
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Entity Type | Individual
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Provider Name | MIKE THOMAS MADSEN RRT
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Gender | Male
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 2727 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-4406
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Country | US
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Telephone | 305-622-7575
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Fax | 305-622-9464
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Provider Business Mailing Address
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Address Line | 11510 SHERIDAN ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-1428
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Country | US
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Telephone | 954-438-9456
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Fax | 305-622-9464
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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 | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number | RT4532
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number | RT 4532
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License Number State | FL
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