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General NPI Number Information
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NPI Number | 1467483073
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Entity Type | Individual
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Provider Name | NESTOR F DE LA CRUZ-MUNOZ JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3650 NW 82ND AVE SUITE 302
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City | DORAL
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State | FL
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Zip | 33166-6658
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Country | US
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Telephone | 305-856-4385
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Fax | 305-856-4301
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Provider Business Mailing Address
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Address Line | 6801 SW 112TH ST
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City | PINECREST
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State | FL
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Zip | 33156-3976
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Country | US
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Telephone | 305-205-8897
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Fax | 305-856-4301
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME71258
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License Number State | FL
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