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General NPI Number Information
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NPI Number | 1356337802
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Entity Type | Individual
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Provider Name | MAURICE CRUZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 927 45TH ST STE 202-6
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City | MANGONIA PARK
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State | FL
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Zip | 33407-2450
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Country | US
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Telephone | 561-558-1212
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Fax | 561-558-1292
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Provider Business Mailing Address
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Address Line | 5955 PONCE DE LEON BLVD
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City | CORAL GABLES
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State | FL
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Zip | 33146-2423
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Country | US
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Telephone | 305-661-1515
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Fax | 305-662-3723
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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 | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 0055895
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License Number State | FL
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