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General NPI Number Information
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NPI Number | 1497742225
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Entity Type | Individual
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Provider Name | JOSE L BAEZ-ESCUDERO MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1625 SE 3RD AVE STE 600
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2521
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Country | US
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Telephone | 954-355-4106
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Fax | 954-888-3669
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-355-4106
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Fax | 954-888-3669
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | ME 110069
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License Number State | FL
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