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Individual
MARIA Y MAZING
Active
Individual
MARIA Y MAZING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242518
NY
207R00000X
Internal Medicine Physician
46251
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406568
MEDICA
—
01
—
1040811
PREFERRED ONE
—
01
—
164622
UCARE MINNESOTA
—
01
—
2421660
AMERICAS PPO
—
01
—
264KOMA
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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