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General NPI Number Information
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NPI Number | 1033111844
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Entity Type | Individual
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Provider Name | JOSE L MUNOZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE STE. 1400
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-493-8333
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Fax | 914-594-4366
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Provider Business Mailing Address
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Address Line | 19 BRADHURST AVE STE 120
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-493-8333
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Fax | 914-594-4366
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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 | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 153700
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License Number State | NY
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