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General NPI Number Information
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NPI Number | 1922301720
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Entity Type | Organization
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Legal Business Name | LOUIS R. GIUSTO, M.D., P.A.
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 5800 COLONIAL DR SUITE 204
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City | MARGATE
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State | FL
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Zip | 33063-5682
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Country | US
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Telephone | 954-968-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 COLONIAL DR SUITE 204
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City | MARGATE
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State | FL
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Zip | 33063-5682
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Country | US
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Telephone | 954-968-4400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LOUIS ROBERT GIUSTO
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Credential | M.D., P.A.
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Telephone | 954-968-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME49204
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License Number State | FL
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