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General NPI Number Information
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NPI Number | 1366477440
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Entity Type | Individual
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Provider Name | JONATHAN J VAFAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 5035 VIA DELRAY
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City | DELRAY BEACH
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State | FL
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Zip | 33484-1315
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Country | US
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Telephone | 561-637-0500
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Fax | 561-637-0055
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Provider Business Mailing Address
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Address Line | 5035 VIA DELRAY
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City | DELRAY BEACH
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State | FL
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Zip | 33484-1315
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Country | US
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Telephone | 561-637-0500
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Fax | 561-637-0055
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 227719
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA08750800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 244522
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME111174
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License Number State | FL
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