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General NPI Number Information
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NPI Number | 1881190064
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Entity Type | Individual
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Provider Name | MICHELLE M AYAZO MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 10/22/2022
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Provider Practice Location Address
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Address Line | 7760 CURLEY RD STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-9153
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Country | US
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Telephone | 813-751-3700
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Fax | 813-377-1398
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Provider Business Mailing Address
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Address Line | 38135 MARKET SQ
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7505
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Country | US
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Telephone | 137-513-7008
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Fax | 813-355-5027
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME141675
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License Number State | FL
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