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General NPI Number Information
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NPI Number | 1902153026
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Entity Type | Individual
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Provider Name | MARIA PAZ HURGO RONQUILLO M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL
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City | NEW YORK
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State | NY
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Zip | 10029-6504
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Country | US
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Telephone | 212-241-8867
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL FL 12
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 646-229-4398
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 292389-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01072117A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 292389
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License Number State | NY
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