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General NPI Number Information
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NPI Number | 1063751444
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Entity Type | Individual
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Provider Name | MOE ZAW M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 1400 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1003
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Country | US
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Telephone | 305-243-6387
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Fax | 305-243-6372
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Provider Business Mailing Address
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Address Line | 1600 NW 10TH AVE # 7047
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City | MIAMI
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State | FL
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Zip | 33136-1015
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Country | US
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Telephone | 305-243-6387
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 285488-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME146395
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License Number State | FL
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