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General NPI Number Information
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NPI Number | 1023091246
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Entity Type | Organization
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Legal Business Name | THE GI GROUP OF SOUTH FLORIDA PA
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 16855 NE 2ND AVE SUITE 202
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1744
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Country | US
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Telephone | 305-770-0062
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Fax | 305-770-1060
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Provider Business Mailing Address
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Address Line | 16855 NE 2ND AVE SUITE 202
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1744
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Country | US
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Telephone | 305-770-0062
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Fax | 305-770-1060
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICARDO J ROMAN
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Credential | MD
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Telephone | 305-770-0062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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