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General NPI Number Information
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NPI Number | 1942422159
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Entity Type | Organization
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Legal Business Name | POMPANO BEACH COMMUNITY MEDICAL CENTER INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 1800 N FEDERAL HWY SUITE 104
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1034
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Country | US
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Telephone | 954-782-0010
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Fax | 954-781-2019
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Provider Business Mailing Address
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Address Line | 1800 N FEDERAL HWY SUITE 104
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1034
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Country | US
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Telephone | 954-782-0010
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Fax | 954-781-2019
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY ELLEN GURR
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Credential |
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Telephone | 954-782-0010
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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 |
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License Number State |
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