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General NPI Number Information
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NPI Number | 1184739336
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Entity Type | Individual
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Provider Name | ANDRES OZUAL MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 06/23/2024
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Provider Practice Location Address
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Address Line | 4801 HOLLYWOOD BLVD STE B
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6545
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Country | US
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Telephone | 954-927-5905
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Fax | 844-546-1497
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Provider Business Mailing Address
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Address Line | 8752 NW 109TH TER
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4549
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Country | US
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Telephone | 305-804-8229
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Fax | 844-546-1497
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 016372
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN286
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License Number State | FL
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