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General NPI Number Information
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NPI Number | 1215401237
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Entity Type | Individual
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Provider Name | SYLVIO ARCHIBAL RRT
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Gender | Male
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 01/12/2019
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Provider Practice Location Address
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Address Line | 4656 VILLAS SANTORINI DR
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City | LAKE WORTH
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State | FL
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Zip | 33461-5098
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Country | US
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Telephone | 561-223-5511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 541801
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City | GREENACRES
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State | FL
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Zip | 33454-1801
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Country | US
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Telephone | 561-223-5511
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Fax |
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT12805
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License Number State | FL
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