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General NPI Number Information
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NPI Number | 1477846061
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Entity Type | Organization
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Legal Business Name | JUAN LUIS ZAMORA, M.D., P.A.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8 MEDICAL PARKWAY SUITE 208
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City | DALLAS
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State | TX
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Zip | 75234
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Country | US
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Telephone | 972-701-8181
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Fax | 972-701-8182
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Provider Business Mailing Address
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Address Line | 8 MEDICAL PARKWAY SUITE 208
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City | DALLAS
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State | TX
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Zip | 75234
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Country | US
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Telephone | 972-701-8181
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Fax | 972-701-8182
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. MICHAEL D. CASTRO
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Credential | D.C.
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Telephone | 972-701-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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