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General NPI Number Information
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NPI Number | 1023029857
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Entity Type | Organization
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Legal Business Name | ROBERT F DE LUCA MD PA
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 427 BILTMORE WAY 102
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City | CORAL GABLES
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State | FL
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Zip | 33134-5735
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Country | US
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Telephone | 305-663-2620
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Fax | 305-663-2616
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Provider Business Mailing Address
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Address Line | 427 BILTMORE WAY 102
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City | CORAL GABLES
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State | FL
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Zip | 33134-5735
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Country | US
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Telephone | 305-663-2620
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Fax | 305-663-2616
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT F DELUCA
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Credential | M.D.
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Telephone | 305-663-2620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 22033
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License Number State | FL
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