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General NPI Number Information
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NPI Number | 1972792216
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Entity Type | Organization
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Legal Business Name | NEVINE M CARP MD PA
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 2623 S SEACREST BLVD STE 208
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7532
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Country | US
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Telephone | 561-374-7911
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Fax | 561-734-8104
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Provider Business Mailing Address
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Address Line | 2623 S SEACREST BLVD STE 208
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7532
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Country | US
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Telephone | 561-374-7911
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Fax | 561-734-8104
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEVINE M. CARP
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Credential | M. D.
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Telephone | 561-374-7911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME80077
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License Number State | FL
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