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General NPI Number Information
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NPI Number | 1932144755
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Entity Type | Organization
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Legal Business Name | NORTH BROWARD HOSPITAL DISTRICT
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 309 SE 18TH STREET
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316
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Country | US
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Telephone | 954-785-2990
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Fax | 954-782-1061
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Provider Business Mailing Address
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Address Line | 309 SE 18TH STREET
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316
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Country | US
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Telephone | 954-785-2990
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Fax | 954-782-1061
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Authorized Official
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Title or Position | MANAGER, THIRD PARTY REIMBURSEMENT
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Name | MR. STUART M GLASSBERG
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Credential |
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Telephone | 954-767-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 20406096
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License Number State | FL
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