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General NPI Number Information
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NPI Number | 1447507173
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Entity Type | Organization
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Legal Business Name | CESAR A OPHELAN M.D., P.A.
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 7100 W 20TH AVE 201
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City | HIALEAH
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State | FL
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Zip | 33016-1897
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Country | US
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Telephone | 305-558-4035
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Fax | 305-826-0724
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Provider Business Mailing Address
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Address Line | 7100 W 20TH AVE 201
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City | HIALEAH
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State | FL
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Zip | 33016-1897
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Country | US
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Telephone | 305-558-4035
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Fax | 305-826-0724
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CESAR A OPHELAN
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Credential | M.D.
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Telephone | 305-558-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 32185
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License Number State | FL
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