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General NPI Number Information
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NPI Number | 1093023400
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Entity Type | Organization
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Legal Business Name | R&R INTERNAL MEDICINE SPECIALIST LLC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 10151 POINTVIEW CT
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City | ORLANDO
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State | FL
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Zip | 32836-6300
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Country | US
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Telephone | 786-375-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 618189
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City | ORLANDO
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State | FL
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Zip | 32861-8189
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MGRM
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Name | JOSE RAMON
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Credential |
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Telephone | 786-375-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME89166
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME95352
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License Number State | FL
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