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General NPI Number Information
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NPI Number | 1992067193
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Entity Type | Organization
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Legal Business Name | JEAN CLAUDE DUBOIS, P.A.
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 601 E SAMPLE RD ROOM 110
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City | POMPANO BEACH
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State | FL
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Zip | 33064-4443
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Country | US
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Telephone | 954-783-5151
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Fax | 954-783-0219
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Provider Business Mailing Address
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Address Line | 601 E SAMPLE RD ROOM 110
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City | POMPANO BEACH
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State | FL
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Zip | 33064-4443
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Country | US
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Telephone | 954-783-5151
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Fax | 954-783-0219
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JEAN CLAUDE DUBOIS
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Credential | MD
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Telephone | 954-783-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME0053632
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License Number State | FL
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