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General NPI Number Information
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NPI Number | 1386658177
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Entity Type | Individual
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Provider Name | FERNANDO JOSE ZAMBRANA MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 551 NATIONAL HEALTH CARE DR
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1495
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Country | US
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Telephone | 386-323-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 BONITA TER
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City | DELTONA
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State | FL
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Zip | 32725-9649
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Country | US
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Telephone | 386-789-0462
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10136
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License Number State | PR
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