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General NPI Number Information
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NPI Number | 1023922820
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Entity Type | Individual
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Provider Name | ANDREA BAEZ-ZAPATA PA
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2718 W ROSCOE ST
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City | CHICAGO
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State | IL
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Zip | 60618-5910
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Country | US
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Telephone | 773-961-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 22753 ROYAL CROWN TER E
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City | BOCA RATON
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State | FL
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Zip | 33433-6293
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Country | US
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Telephone | 954-482-3626
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Fax |
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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 |
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License Number State | NULL
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