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General NPI Number Information
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NPI Number | 1487926523
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Entity Type | Organization
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Legal Business Name | RIONDA ANESTHESIA SERVICES, LLC
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 2972 NW 99TH PL
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City | DORAL
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State | FL
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Zip | 33172-1091
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Country | US
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Telephone | 305-796-7162
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Fax |
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Provider Business Mailing Address
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Address Line | 2972 NW 99TH PL
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City | DORAL
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State | FL
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Zip | 33172-1091
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Country | US
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Telephone | 305-796-7162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSE RIONDA
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Credential |
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Telephone | 305-796-7162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME68604
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License Number State | FL
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