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General NPI Number Information
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NPI Number | 1326011784
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Entity Type | Individual
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Provider Name | ALVIN RUANGSOMBOON MD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 1100 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33150-2038
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Country | US
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Telephone | 954-462-5533
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Fax | 305-694-4810
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Provider Business Mailing Address
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Address Line | 1504 BAY RD 3204
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3268
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Country | US
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Telephone | 773-480-0629
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Fax | 919-425-0468
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME93802
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License Number State | FL
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