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General NPI Number Information
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NPI Number | 1801895172
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Entity Type | Individual
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Provider Name | JANIS DZELZKALNS MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 5858 SW 68 ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3693
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Country | US
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Telephone | 305-661-8588
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Fax | 305-661-4906
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Provider Business Mailing Address
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Address Line | 5858 SW 68 ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5188
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Country | US
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Telephone | 305-661-2036
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Fax | 305-661-4906
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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 | ME0054394
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0054394
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License Number State | FL
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