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General NPI Number Information
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NPI Number | 1932785359
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Entity Type | Individual
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Provider Name | EDWING JEAN BAPTISTE MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 6245 MIRAMAR PKWY
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City | MIRAMAR
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State | FL
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Zip | 33023-3964
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Country | US
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Telephone | 754-273-9174
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Fax |
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Provider Business Mailing Address
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Address Line | 11979 SW 28TH CT
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City | MIRAMAR
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State | FL
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Zip | 33025-0785
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Country | US
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Telephone | 954-488-4609
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | HSE32232
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License Number State | FL
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