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General NPI Number Information
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NPI Number | 1336656354
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Entity Type | Individual
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Provider Name | DANIEL ZULUAGA ATC
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Gender | Male
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 16401 NW 37TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33054-6313
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Country | US
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Telephone | 305-628-6533
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Fax |
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Provider Business Mailing Address
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Address Line | 11735 SW 133RD CT
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City | MIAMI
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State | FL
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Zip | 33186-4415
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Country | US
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Telephone | 786-269-4913
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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