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General NPI Number Information
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NPI Number | 1528534948
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Entity Type | Individual
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Provider Name | RICARDO DINGLASAN
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Gender | Male
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 2599 NW 55TH AVE
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City | LAUDERHILL
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State | FL
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Zip | 33313-2443
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Country | US
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Telephone | 954-485-8873
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Fax |
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Provider Business Mailing Address
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Address Line | 838 NANDINA DR
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City | WESTON
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State | FL
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Zip | 33327-2404
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Country | US
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Telephone | 954-384-6470
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7174
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License Number State | FL
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