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General NPI Number Information
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NPI Number | 1952727356
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Entity Type | Organization
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Legal Business Name | NANO HEALTH ASSOCIATES LLC
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 1674 MERIDIAN AVE SUITE 201
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City | MIAMI BEACH
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State | FL
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Zip | 33139-2801
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Country | US
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Telephone | 305-760-8756
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Fax | 305-760-8759
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Provider Business Mailing Address
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Address Line | 1674 MERIDIAN AVE SUITE 201
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City | MIAMI BEACH
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State | FL
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Zip | 33139-2801
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Country | US
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Telephone | 305-760-8756
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Fax | 305-760-8759
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Authorized Official
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Title or Position | OWNER / DO
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Name | DR. GENE NEYTMAN
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Credential | DO
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Telephone | 305-760-8756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS8861
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License Number State | FL
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