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General NPI Number Information
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NPI Number | 1265733430
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Entity Type | Organization
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Legal Business Name | FRANCISCO G TUDELA M.D PA
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 777 E 25TH ST STE 106
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City | HIALEAH
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State | FL
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Zip | 33013-3804
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Country | US
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Telephone | 305-691-1171
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Fax | 305-693-6726
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Provider Business Mailing Address
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Address Line | 777 E 25TH ST STE 106
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City | HIALEAH
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State | FL
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Zip | 33013-3804
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Country | US
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Telephone | 305-691-1171
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Fax | 305-693-6726
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANCISCO G TUDELA JR.
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Credential | M.D
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Telephone | 305-691-1171
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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 | ME36365
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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