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General NPI Number Information
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NPI Number | 1205400959
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Entity Type | Organization
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Legal Business Name | EZ HEALTHCARE ASSOCIATES INC.
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 8205 NW 12TH ST UNIT 4
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City | DORAL
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State | FL
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Zip | 33126-1837
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Country | US
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Telephone | 305-699-9791
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Fax | 786-946-1156
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Provider Business Mailing Address
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Address Line | 8205 NW 12TH ST UNIT 4
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City | DORAL
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State | FL
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Zip | 33126-1837
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Country | US
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Telephone | 305-699-9791
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Fax | 786-946-1156
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Authorized Official
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Title or Position | CEO / PRESIDENT
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Name | MR. ANDRES RODRIGUEZ
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Credential |
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Telephone | 305-699-9791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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