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General NPI Number Information
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NPI Number | 1912154865
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Entity Type | Individual
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Provider Name | YEMAL CALDERON AMEZQUITA MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 2001 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33016-1801
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Country | US
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Telephone | 305-823-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3061 SW 192ND AVE
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City | MIRAMAR
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State | FL
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Zip | 33029-5826
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Country | US
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Telephone | 787-347-1735
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME111019
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License Number State | FL
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