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General NPI Number Information
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NPI Number | 1073709341
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Entity Type | Organization
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Legal Business Name | ROYA MEDICAL CENTER INC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 26 N BEACH ST SUITE A
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5663
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Country | US
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Telephone | 386-673-8333
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Fax | 386-673-5236
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Provider Business Mailing Address
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Address Line | 26 N BEACH ST SUITE A
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5663
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Country | US
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Telephone | 386-673-8333
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Fax | 386-673-5236
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RAMIN BONNET
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Credential | D.O.
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Telephone | 386-673-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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