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General NPI Number Information
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NPI Number | 1932429685
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Entity Type | Organization
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Legal Business Name | ELIANA BEJARANO, MD, P.A.
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 420 S STATE ROAD 7 SUITE 170
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33414-4303
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Country | US
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Telephone | 561-420-8490
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Fax | 561-420-8491
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Provider Business Mailing Address
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Address Line | 420 S STATE ROAD 7 SUITE 170
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33414-4303
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Country | US
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Telephone | 561-420-8490
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Fax | 561-420-8491
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIANA BEJARANO
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Credential | MD
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Telephone | 561-420-8490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME101044
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License Number State | FL
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