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General NPI Number Information
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NPI Number | 1144008525
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Entity Type | Organization
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Legal Business Name | RFELINTERGRATE
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 196 WILLOUGHBY ST APT 3S
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City | BROOKLYN
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State | NY
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Zip | 11201-7588
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Country | US
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Telephone | 917-349-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 196 WILLOUGHBY ST APT 3S
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City | BROOKLYN
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State | NY
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Zip | 11201-7588
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Country | US
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Telephone | 917-349-0220
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Fax |
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Authorized Official
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Title or Position | MANAGEMENT
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Name | MR. REYNALDO FERNANDEZ
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Credential | RVT
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Telephone | 917-349-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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