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General NPI Number Information
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NPI Number | 1952540031
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Entity Type | Organization
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Legal Business Name | MAZALEZ COMPLETE WORK INC
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 8004 NW 154TH ST SUITE 371
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5814
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Country | US
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Telephone | 305-529-4962
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Fax | 305-675-6154
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Provider Business Mailing Address
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Address Line | 8004 NW 154TH ST SUITE 371
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5814
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Country | US
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Telephone | 305-529-4962
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Fax | 305-675-6154
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ELMA GONZALEZ
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Credential |
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Telephone | 786-234-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0001X
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Taxonomy Name | Clinical & Laboratory Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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