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General NPI Number Information
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NPI Number | 1265841274
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Entity Type | Individual
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Provider Name | ZENIA ECHEVERRIA P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 911 VILLAGE BLVD SUITE 807
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1938
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Country | US
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Telephone | 561-616-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 15710 BENT CREEK RD
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City | WELLINGTON
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State | FL
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Zip | 33414-6318
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Country | US
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Telephone | 561-616-1001
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9104266
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9104266
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License Number State | FL
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