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General NPI Number Information
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NPI Number | 1497928071
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Entity Type | Organization
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Legal Business Name | RGR, LLC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 2880 W. OAKLAND PARK BLVD. SUITE 215
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City | FT. LAUDERDALE
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State | FL
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Zip | 33311-1350
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Country | US
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Telephone | 954-677-2700
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Fax | 954-677-2800
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Provider Business Mailing Address
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Address Line | 2880 W. OAKLAND PARK BLVD. SUITE 215
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City | FT. LAUDERDALE
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State | FL
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Zip | 33311-1350
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Country | US
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Telephone | 954-677-2700
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Fax | 954-677-2800
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY G ROY
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Credential |
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Telephone | 954-677-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299993020
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License Number State | FL
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