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General NPI Number Information
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NPI Number | 1619484805
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Entity Type | Organization
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Legal Business Name | ZELLNER DIMINO LEYVA LOPEZ BEECHAM LEYVA JOHNSON
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 9595 N KENDALL DR STE 103
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City | MIAMI
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State | FL
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Zip | 33176-1979
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Country | US
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Telephone | 305-279-8222
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Fax | 305-270-9030
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Provider Business Mailing Address
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Address Line | 9595 N KENDALL DR STE 103
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City | MIAMI
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State | FL
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Zip | 33176-1979
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Country | US
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Telephone | 305-279-8222
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Fax | 305-270-9030
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CRISTINA GARCIA
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Credential |
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Telephone | 305-279-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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