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General NPI Number Information
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NPI Number | 1396792172
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Entity Type | Organization
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Legal Business Name | R & P MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 3970 SW 67TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-3750
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Country | US
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Telephone | 305-667-6207
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 NW 6TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4326
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Country | US
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Telephone | 305-667-6207
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PABLO ZERQUERA
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Credential |
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Telephone | 305-667-6207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | HCC5157
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License Number State | FL
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