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General NPI Number Information
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NPI Number | 1740214337
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Entity Type | Organization
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Legal Business Name | GONZALEZ ABREU AND FERNANDEZ MD PA
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 7150 W 20 AVE SUITE 202
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City | HIALEAH
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State | FL
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Zip | 33016-5509
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Country | US
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Telephone | 305-822-8229
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Fax | 305-826-5805
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Provider Business Mailing Address
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Address Line | 7150 W 20 AVE SUITE 202
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City | HIALEAH
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State | FL
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Zip | 33016-5509
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Country | US
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Telephone | 305-822-8229
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Fax | 305-826-5805
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Authorized Official
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Title or Position | PHYSICIAN VICE PRESIDENT
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Name | MR. JOSE JESUS ABREU
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Credential | MD
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Telephone | 305-822-8229
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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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