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NPI 1184178048

NPI 1184178048 : REMING DIAGNOSTICS GROUP CORP : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1184178048
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    Entity Type          |    Organization 
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    Legal Business Name  |    REMING DIAGNOSTICS GROUP CORP 
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Dates
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    Enumeration Date     |    08/09/2016
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    Last Update Date     |    08/15/2016
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Provider Practice Location Address
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    Address Line         |    7811 CORAL WAY SUITE 130
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-6540
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    Country              |    US
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    Telephone            |    305-262-4231
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    Fax                  |    305-262-4232
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Provider Business Mailing Address
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    Address Line         |    7811 CORAL WAY SUITE 130
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-6540
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    Country              |    US
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    Telephone            |    305-262-4231
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    Fax                  |    305-262-4232
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SUSANA  IBANEZ MORALES 
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    Credential           |    
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    Telephone            |    305-262-4231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2471S1302X
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    Taxonomy Name        |    Sonography Radiologic Technologist
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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        |    227900000X
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    Taxonomy Name        |    Registered Respiratory Therapist
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    License Number       |    RT15126
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    License Number State |    FL
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