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General NPI Number Information
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NPI Number | 1013926658
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Entity Type | Organization
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Legal Business Name | JOSE C. MUNIZ, MD, PA
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 178 THOMAS JOHNSON DR
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City | FREDERICK
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State | MD
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Zip | 21702-4386
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Country | US
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Telephone | 301-662-1244
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Fax | 301-662-0552
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Provider Business Mailing Address
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Address Line | 178 THOMAS JOHNSON DR
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City | FREDERICK
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State | MD
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Zip | 21702-4386
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Country | US
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Telephone | 301-662-1244
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Fax | 301-662-0552
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE C MUNIZ
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Credential | MD
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Telephone | 301-662-1244
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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 | D0020786
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License Number State | MD
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