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General NPI Number Information
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NPI Number | 1982944898
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Entity Type | Organization
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Legal Business Name | ASTAR MEDICAL GROUP INC
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 100 NW 170TH STREET SUITE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169
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Country | US
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Telephone | 305-653-6856
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Fax | 305-653-6838
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Provider Business Mailing Address
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Address Line | 100 NW 170TH STREET SUITE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169
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Country | US
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Telephone | 305-653-6856
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Fax | 305-653-6838
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Authorized Official
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Title or Position | CEO
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Name | VICTOR BEHAR
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Credential |
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Telephone | 786-271-3697
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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