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General NPI Number Information
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NPI Number | 1770592651
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Entity Type | Organization
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Legal Business Name | MARIA A JURADO MD PA
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 9980 CENTRAL PARK BLVD SUITE 214
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City | BOCA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 561-483-8990
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Fax | 561-483-9003
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Provider Business Mailing Address
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Address Line | 9980 CENTRAL PARK BLVD SUITE 214
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City | BOCA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 561-483-8990
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Fax | 561-483-9003
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. MARIA ANTOINETA JURADO
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Credential | MD
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Telephone | 561-483-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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