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General NPI Number Information
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NPI Number | 1780954792
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Entity Type | Organization
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Legal Business Name | ZORAIDA RIVERA-HIDALGO MD PA
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 2647 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33020-4840
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Country | US
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Telephone | 954-927-7575
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Fax | 954-927-5272
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Provider Business Mailing Address
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Address Line | 2647 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33020-4840
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Country | US
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Telephone | 954-927-7575
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Fax | 954-927-5272
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | ZORAIDA RIVERA-HIDALGO MD
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Credential | MD
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Telephone | 954-927-7575
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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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