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General NPI Number Information
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NPI Number | 1013248095
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Entity Type | Individual
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Provider Name | CYNTHIA L. AZOUBEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 8900 NORTH KENDALL DRIVE
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 786-596-1960
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Fax | 954-851-1746
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Provider Business Mailing Address
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Address Line | 1613 N. HARRISON PARKWAY SUITE 200 MAILSTOP SH-9A
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City | SUNRISE
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State | FL
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Zip | 33323-2896
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Country | US
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Telephone | 800-437-2672
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Fax | 954-851-1746
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00232800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA054241
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9106581
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License Number State | FL
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