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General NPI Number Information
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NPI Number | 1467442558
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Entity Type | Individual
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Provider Name | JUAN PABLO ZAMBRANO MD
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Gender | Male
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 9380 SW 150TH ST SUITE 210
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City | MIAMI
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State | FL
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Zip | 33176-7947
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Country | US
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Telephone | 305-256-5018
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 NW 12TH AVE SUITE 810
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City | MIAMI
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State | FL
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Zip | 33136-1051
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Country | US
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Telephone | 305-585-6649
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME80831
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 80831
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License Number State | FL
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