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NPI 1689606162

NPI 1689606162 : ZUZANA K HRDLICKA M.D. : FT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1689606162
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    Entity Type          |    Individual 
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    Provider Name        |    ZUZANA K HRDLICKA M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2006
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    Last Update Date     |    03/22/2021
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Provider Practice Location Address
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    Address Line         |    5601 N. DIXIE HWY STE. 115
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    City                 |    FT LAUDERDALE
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    State                |    FL
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    Zip                  |    33334
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    Country              |    US
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    Telephone            |    954-771-4271
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    Fax                  |    954-776-5959
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 39209 STE 115
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    City                 |    FT LAUDERDALE
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    State                |    FL
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    Zip                  |    33339
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    Country              |    US
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    Telephone            |    954-851-9966
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    Fax                  |    954-318-7360
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    ME0073617
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    ME73617
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    License Number State |    FL
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