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General NPI Number Information
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NPI Number | 1982957841
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Entity Type | Organization
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Legal Business Name | EDUARDO J HIDALGO MD PA
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 4006 N OCEAN BLVD SECOND FLOOR
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-6420
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Country | US
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Telephone | 954-566-4006
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Fax | 954-566-1960
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Provider Business Mailing Address
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Address Line | 4006 N OCEAN BLVD SECOND FLOOR
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-6420
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Country | US
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Telephone | 954-566-4006
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Fax | 954-566-1960
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDUARDO JOSE HIDALGO
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Credential | MD
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Telephone | 954-566-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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