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General NPI Number Information
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NPI Number | 1497253819
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Entity Type | Individual
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Provider Name | DANIELLE TAYLOR ZARUCHES PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 4205 W ATLANTIC AVE STE 201
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3901
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Country | US
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Telephone | 561-303-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 N BAYSHORE DR APT 1408
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City | MIAMI
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State | FL
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Zip | 33137-5139
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Country | US
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Telephone | 561-271-6781
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9111065
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License Number State | FL
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