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General NPI Number Information
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NPI Number | 1902016827
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Entity Type | Individual
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Provider Name | MILITZA I MIZRAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 800 E CYPRESS DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4543
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Country | US
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Telephone | 305-702-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 2725 NE 8TH AVE
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City | WILTON MANORS
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State | FL
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Zip | 33334-2631
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Country | US
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Telephone | 305-702-7776
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 189597
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License Number State | NY
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