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General NPI Number Information
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NPI Number | 1952604498
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Entity Type | Organization
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Legal Business Name | ANGEL E. TEJEDA, M.D., P.A.
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 4305 E 8TH AVE SUITE C
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City | HIALEAH
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State | FL
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Zip | 33013-2465
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Country | US
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Telephone | 305-693-6305
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Fax | 305-456-0082
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Provider Business Mailing Address
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Address Line | 4305 E 8TH AVE SUITE C
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City | HIALEAH
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State | FL
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Zip | 33013-2465
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Country | US
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Telephone | 305-693-6305
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Fax | 305-456-0082
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANGEL E TEJEDA
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Credential | M.D.
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Telephone | 305-693-6305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME65366
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License Number State | FL
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