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NPI 1902331127

NPI 1902331127 : GUARDIAN HOSPITALIST, LLC : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1902331127
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    Entity Type          |    Organization 
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    Legal Business Name  |    GUARDIAN HOSPITALIST, LLC 
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Dates
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    Enumeration Date     |    04/25/2017
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    Last Update Date     |    04/25/2017
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Provider Practice Location Address
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    Address Line         |    7800 SHERIDAN ST 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33024-2536
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    Country              |    US
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    Telephone            |    954-883-8499
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    Fax                  |    954-322-8161
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Provider Business Mailing Address
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    Address Line         |    3157 N UNIVERSITY DR SUITE 108
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33024-2258
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    Country              |    US
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    Telephone            |    954-990-0620
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    Fax                  |    888-990-7342
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Authorized Official
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    Title or Position    |    CEO/OWNER
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    Name                 |     VICTOR  TOTFALUSI 
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    Credential           |    D.O
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    Telephone            |    954-993-7029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    
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    License Number State |    
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