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General NPI Number Information
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NPI Number | 1215251467
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Entity Type | Organization
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Legal Business Name | RONIE J ZARUCHES OD LLC
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 143 N POWERLINE RD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8037
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Country | US
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Telephone | 561-789-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 6380 NW 110TH AVE
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City | PARKLAND
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State | FL
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Zip | 33076-3735
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Country | US
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Telephone | 561-789-3868
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONIE ZARUCHES
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Credential |
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Telephone | 561-789-3868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | OPC2462
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License Number State | FL
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