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General NPI Number Information
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NPI Number | 1841751245
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Entity Type | Individual
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Provider Name | VICTOR YAMADA RAZUK MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 6200 SUNSET DR STE 401
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4829
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Country | US
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Telephone | 305-666-4633
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Fax | 305-667-1675
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Provider Business Mailing Address
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Address Line | 6200 SUNSET DR STE 401
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4829
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Country | US
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Telephone | 305-666-4633
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Fax | 305-667-1675
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME155250
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License Number State | FL
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