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General NPI Number Information
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NPI Number | 1508031170
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Entity Type | Organization
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Legal Business Name | WILLIAM TEJEIRO M D PA
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 3899 NW 7TH ST #200
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City | MIAMI
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State | FL
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Zip | 33126-5551
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Country | US
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Telephone | 305-642-5661
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Fax | 305-642-5664
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Provider Business Mailing Address
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Address Line | PO BOX 430106
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City | MIAMI
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State | FL
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Zip | 33243-0106
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Country | US
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Telephone | 305-642-5661
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Fax | 305-642-5664
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM TEJEIRO
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Credential | MD
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Telephone | 305-642-5661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | ME0058822
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License Number State | FL
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