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General NPI Number Information
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NPI Number | 1205079563
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Entity Type | Organization
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Legal Business Name | SONIA I RENTE MD PA
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 9600 SW 8TH ST SUITE 37
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City | MIAMI
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State | FL
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Zip | 33174-2900
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Country | US
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Telephone | 305-553-4024
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Fax | 305-553-4025
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Provider Business Mailing Address
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Address Line | 9600 SW 8TH ST SUITE 37
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City | MIAMI
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State | FL
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Zip | 33174-2900
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Country | US
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Telephone | 305-553-4024
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Fax | 305-553-4025
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Authorized Official
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Title or Position | OWNER
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Name | SONIA I RENTE
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Credential | MD
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Telephone | 305-553-4024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME67738
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME67738
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License Number State | FL
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