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General NPI Number Information
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NPI Number | 1992183719
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Entity Type | Organization
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Legal Business Name | TOTAL MD ORTHOPEDICS & NEUROSURGERY LLC
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 1724 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4611
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Country | US
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Telephone | 561-967-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 6742 FOREST HILL BLVD SUITE 291
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City | GREENACRES
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State | FL
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Zip | 33413-3321
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Country | US
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Telephone | 561-967-8888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUSS SEGER
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Credential |
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Telephone | 561-967-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME98091
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License Number State | FL
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