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General NPI Number Information
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NPI Number | 1356126122
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Entity Type | Individual
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Provider Name | REUBEN DIAZ
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 5800 CENTRAL GARDENS WAY APT 213
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4089
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Country | US
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Telephone | 541-292-2674
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 CENTRAL GARDENS WAY APT 213
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4089
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Country | US
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Telephone |
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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