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General NPI Number Information
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NPI Number | 1952725079
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Entity Type | Organization
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Legal Business Name | VARIETY CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 12246 MIRAMAR PARKWAY
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City | MIRAMAR
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State | FL
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Zip | 33025
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Country | US
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Telephone | 954-442-0809
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Fax | 954-442-0704
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Provider Business Mailing Address
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Address Line | PO BOX 863941
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City | ORLANDO
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State | FL
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Zip | 32886-3941
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Country | US
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Telephone | 305-662-8334
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Fax | 786-624-2688
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Authorized Official
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Title or Position | SVP & CFO
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Name | TIMOTHY BIRKENSTOCK
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Credential |
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Telephone | 305-669-6422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number |
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License Number State |
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