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General NPI Number Information
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NPI Number | 1982885331
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Entity Type | Organization
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Legal Business Name | PHILIP F AVERBUCH MD PA
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 9750 NW 33RD ST STE 116
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City | CORAL SPRINGS
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State | FL
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Zip | 33065
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Country | US
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Telephone | 954-722-0040
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Fax | 954-344-7964
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Provider Business Mailing Address
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Address Line | 9750 NW 33RD ST STE 116
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4000
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Country | US
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Telephone | 954-722-0040
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Fax | 954-344-7964
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. PHILIP AVERBUCH
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Credential | M.D.
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Telephone | 954-722-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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