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NPI 1407979529

NPI 1407979529 : JORGE A GARCIA-ZUAZAGA M.D. : CONCORD TOWNSHIP, OH

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General NPI Number Information
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    NPI Number           |    1407979529
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    Entity Type          |    Individual 
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    Provider Name        |    JORGE A GARCIA-ZUAZAGA M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    7580 AUBURN RD STE 301 
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    City                 |    CONCORD TOWNSHIP
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    State                |    OH
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    Zip                  |    44077-9618
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    Country              |    US
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    Telephone            |    440-352-7546
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    Fax                  |    440-352-5260
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Provider Business Mailing Address
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    Address Line         |    29111 CEDAR RD 
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    City                 |    MAYFIELD HEIGHTS
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    State                |    OH
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    Zip                  |    44124-4005
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    Country              |    US
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    Telephone            |    440-646-1600
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    Fax                  |    440-646-1505
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    35-084764
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207NS0135X
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    Taxonomy Name        |    Procedural Dermatology Physician
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    License Number       |    35-084764
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    207ND0101X
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    Taxonomy Name        |    MOHS-Micrographic Surgery Physician
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    License Number       |    35-084764
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    License Number State |    OH
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