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General NPI Number Information
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NPI Number | 1386919975
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Entity Type | Organization
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Legal Business Name | DR. RONALD LATRONICA
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 955 E DEL WEBB BLVD STE. 101
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6670
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Country | US
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Telephone | 813-633-3332
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Fax | 813-633-0564
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Provider Business Mailing Address
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Address Line | 955 E DEL WEBB BLVD STE. 101
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6670
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Country | US
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Telephone | 813-633-3332
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Fax | 813-633-0564
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RONALD LATRONICA
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Credential |
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Telephone | 813-633-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH5339
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License Number State | FL
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