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General NPI Number Information
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NPI Number | 1790031490
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Entity Type | Individual
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Provider Name | MARK ZHUK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 405 N HIBISCUS DR UNIT 207
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City | MIAMI BEACH
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State | FL
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Zip | 33139-5169
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Country | US
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Telephone | 305-799-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 AVENTURA BLVD SUITE 100
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City | AVENTURA
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State | FL
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Zip | 33180-3124
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Country | US
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Telephone | 305-692-2222
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME79113
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License Number State | FL
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