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General NPI Number Information
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NPI Number | 1952344863
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Entity Type | Individual
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Provider Name | JAY B FINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 601 N FLAMINGO RD STE 403
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1015
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Country | US
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Telephone | 954-436-0244
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Fax | 954-374-8855
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Provider Business Mailing Address
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Address Line | 601 N FLAMINGO RD SUITE 403
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1015
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Country | US
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Telephone | 954-436-0244
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Fax | 954-374-8855
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME25699
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License Number State | FL
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