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General NPI Number Information
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NPI Number | 1356724470
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Entity Type | Organization
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Legal Business Name | RCR MEDSERV, P.A.
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 12320 QUAIL ROOST DR
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City | MIAMI
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State | FL
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Zip | 33177-4930
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Country | US
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Telephone | 786-661-0061
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161604
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City | MIAMI
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State | FL
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Zip | 33116-1604
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Country | US
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Telephone | 786-661-0061
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMON H. ROMAN
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Credential | ARNP
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Telephone | 786-661-0061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9306159
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License Number State | FL
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