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General NPI Number Information
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NPI Number | 1720170467
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Entity Type | Organization
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Legal Business Name | ANA M TAMAYO MD PA
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2472 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-436-1300
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Fax | 954-431-6855
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Provider Business Mailing Address
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Address Line | 2472 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-436-1300
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Fax | 954-431-6855
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANA M TAMAYO
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Credential | MD
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Telephone | 954-436-1300
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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 | ME38278
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License Number State | FL
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