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General NPI Number Information
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NPI Number | 1780612127
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Entity Type | Individual
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Provider Name | CARLOS A ZUBILLAGA MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 4821 US HWY 19 SUITE 1
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652
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Country | US
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Telephone | 727-849-2005
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Fax | 727-849-2087
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Provider Business Mailing Address
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Address Line | PO BOX 10014
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City | ELFERS
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State | FL
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Zip | 34680
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Country | US
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Telephone | 727-849-2005
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Fax | 727-849-2087
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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 | ME0028789
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME0028789
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License Number State | FL
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