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General NPI Number Information
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NPI Number | 1619129996
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Entity Type | Organization
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Legal Business Name | GERARDO ZLOCZOVER MD PA
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 1325 S CONGRESS AVE SUITE 101
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-5876
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Country | US
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Telephone | 561-737-5301
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Fax | 561-738-5199
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Provider Business Mailing Address
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Address Line | 1325 S CONGRESS AVE SUITE 101
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-5876
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Country | US
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Telephone | 561-737-5301
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Fax | 561-738-5199
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERARDO ZLOCZOVER
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Credential | MD
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Telephone | 561-737-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME 33739
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License Number State | FL
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