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General NPI Number Information
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NPI Number | 1215987516
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Entity Type | Organization
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Legal Business Name | RGR, LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 99 NW 183RD ST SUITE 111
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City | MIAMI
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State | FL
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Zip | 33169-4502
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Country | US
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Telephone | 305-650-9094
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Fax | 305-650-9096
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Provider Business Mailing Address
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Address Line | 20401 NW 2ND AVE SUITE 208
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City | MIAMI
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State | FL
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Zip | 33169-2542
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Country | US
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Telephone | 305-650-9094
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Fax | 305-650-9096
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY GEORGE ROY
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Credential |
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Telephone | 305-650-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA299992232
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License Number State | FL
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