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General NPI Number Information
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NPI Number | 1134181605
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Entity Type | Individual
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Provider Name | RONALD JOHN HEROMIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 2387 W. 68TH ST SUITE 502
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City | HIALEAH
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State | FL
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Zip | 33016
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Country | US
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Telephone | 786-336-1991
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Fax | 786-336-1994
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Provider Business Mailing Address
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Address Line | 2387 W. 68TH ST SUITE 502
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City | HIALEAH
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State | FL
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Zip | 33016
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Country | US
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Telephone | 786-336-1991
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Fax | 786-336-1994
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME47301
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME00047301
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 43119
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License Number State | TN
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