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General NPI Number Information
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NPI Number | 1316167083
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Entity Type | Individual
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Provider Name | ZULLY E AMBROISE MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/07/2013
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Provider Practice Location Address
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Address Line | 1936 LEE RD STE 137
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City | WINTER PARK
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State | FL
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Zip | 32789-7229
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Country | US
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Telephone | 321-207-0623
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Fax | 321-207-0666
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Provider Business Mailing Address
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Address Line | 1936 LEE RD STE 137
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City | WINTER PARK
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State | FL
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Zip | 32789-7229
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Country | US
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Telephone | 321-207-0623
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Fax | 321-207-0666
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME98395
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License Number State | FL
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