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General NPI Number Information
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NPI Number | 1992969828
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Entity Type | Organization
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Legal Business Name | HOSPITALIST M D ASSOCIATES LLC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 10021 PINES BLVD SUITE 210
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6191
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Country | US
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Telephone | 954-885-4299
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Fax | 954-885-4298
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Provider Business Mailing Address
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Address Line | PO BOX 279425
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City | MIRAMAR
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State | FL
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Zip | 33027-9425
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Country | US
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Telephone | 954-885-4299
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Fax | 954-885-4298
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Authorized Official
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Title or Position | OWNER
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Name | GLORIA R PINA
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Credential |
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Telephone | 954-885-4299
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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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