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General NPI Number Information
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NPI Number | 1669669578
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Entity Type | Individual
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Provider Name | CAROLYN MALDONADO-GARCIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 4020 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9416
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Country | US
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Telephone | 855-226-6633
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Fax | 866-285-7068
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Provider Business Mailing Address
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Address Line | 4855 W HILLSBORO BLVD SUITE B-2
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4356
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Country | US
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Telephone | 954-418-1683
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Fax | 954-418-1698
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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 | ME100021
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME100021
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME100021
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License Number State | FL
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