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General NPI Number Information
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NPI Number | 1184932188
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Entity Type | Organization
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Legal Business Name | GONZALO F. YANEZ M.D. ,P,A.
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Dates
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Enumeration Date | 09/24/2010
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 7765 SW 87TH AVE STE 120
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City | MIAMI
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State | FL
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Zip | 33173-2535
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Country | US
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Telephone | 305-279-7001
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Fax | 305-279-7067
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Provider Business Mailing Address
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Address Line | 7765 SW 87TH AVE STE 120
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City | MIAMI
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State | FL
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Zip | 33173-2535
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Country | US
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Telephone | 305-279-7067
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. GONZALO FLAVIO YANEZ
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Credential |
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Telephone | 305-279-7001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME30470
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License Number State | FL
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