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General NPI Number Information
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NPI Number | 1548301054
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Entity Type | Individual
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Provider Name | ROBERT ZACHARY PEARSON-MARTINEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-6683
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Fax | 305-324-6012
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Provider Business Mailing Address
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Address Line | 960 LUGO AVE
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City | CORAL GABLES
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State | FL
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Zip | 33156-6323
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Country | US
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Telephone | 305-740-5603
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Fax | 305-740-5603
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | ME97395
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License Number State | FL
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