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General NPI Number Information
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NPI Number | 1013914001
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Entity Type | Individual
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Provider Name | EDWARD RENAN BERMUDEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD BLDG E, SUITE F-201
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City | SARASOTA
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State | FL
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Zip | 34233-2943
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Country | US
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Telephone | 941-917-8744
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Fax | 941-917-8749
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD BLDG E, SUITE F-201
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City | SARASOTA
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State | FL
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Zip | 34233-2943
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Country | US
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Telephone | 941-917-8744
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Fax | 941-917-8749
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME60562
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License Number State | FL
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