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General NPI Number Information
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NPI Number | 1669551099
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Entity Type | Individual
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Provider Name | HECTOR VYDAS
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Gender | Male
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 7463 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34667-6714
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Country | US
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Telephone | 727-873-3891
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME166808
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License Number State | IL
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