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General NPI Number Information
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NPI Number | 1992036255
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Entity Type | Organization
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Legal Business Name | NANCY EKLUND MD PA
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 9085 SW 87TH AVE SUITE 201
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City | MIAMI
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State | FL
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Zip | 33176-2309
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Country | US
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Telephone | 305-270-2229
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Fax | 305-270-2284
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Provider Business Mailing Address
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Address Line | 14220 SW 79TH AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33158-1509
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Country | US
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Telephone | 305-270-2229
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Fax | 305-270-2284
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY MARIE EKLUND
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Credential | MD
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Telephone | 305-270-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0033220
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License Number State | FL
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