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General NPI Number Information
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NPI Number | 1467594523
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Entity Type | Individual
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Provider Name | RAFAEL JORGE MENENDEZ RRT
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4284 S. W. 161 PLACE
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City | MIAMI
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State | FL
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Zip | 33185
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Country | US
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Telephone | 786-208-2813
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Fax |
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Provider Business Mailing Address
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Address Line | 1352 S. W. 75 AVENUE
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City | MIAMI
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State | FL
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Zip | 33144-2244
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Country | US
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Telephone | 305-266-4474
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT5541
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License Number State | FL
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