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General NPI Number Information
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NPI Number | 1164520243
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Entity Type | Individual
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Provider Name | OSCAR MENDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 2951 NW 49TH AVE SUITE 306
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1600
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Country | US
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Telephone | 954-717-4066
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Fax | 954-717-4069
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Provider Business Mailing Address
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Address Line | 2951 NW 49TH AVE SUITE 306
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1600
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Country | US
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Telephone | 954-717-4066
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Fax | 954-717-4069
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME98741
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License Number State | FL
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