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General NPI Number Information
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NPI Number | 1316258668
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Entity Type | Organization
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Legal Business Name | RALPH SLONIM,ROBERTA SLONIM,MD,PA
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 1581 BRICKELL AVE APT 1801
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City | MIAMI
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State | FL
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Zip | 33129-1240
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Country | US
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Telephone | 305-858-8156
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Fax | 305-858-2729
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Provider Business Mailing Address
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Address Line | 1581 BRICKELL AVE APT 1801
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City | MIAMI
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State | FL
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Zip | 33129-1240
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Country | US
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Telephone | 305-858-8156
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Fax | 305-858-2729
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERTA SLONIM
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Credential | M.D.
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Telephone | 305-858-8156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME10142
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License Number State | FL
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