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General NPI Number Information
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NPI Number | 1619128709
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Entity Type | Organization
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Legal Business Name | EGBERTO J ZAYAS M D P A
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 13601 BRUCE B DOWNS BLVD SUITE 310
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City | TAMPA
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State | FL
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Zip | 33613-4657
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Country | US
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Telephone | 813-615-0777
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Fax | 813-632-7549
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Provider Business Mailing Address
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Address Line | PO BOX 48407
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City | TAMPA
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State | FL
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Zip | 33646-0121
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Country | US
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Telephone | 813-615-0777
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Fax | 813-632-7549
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EGBERTO J ZAYAS
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Credential | MD
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Telephone | 813-615-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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