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General NPI Number Information
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NPI Number | 1568580983
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Entity Type | Organization
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Legal Business Name | ROLANDO C MENDIZABAL MD PA
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 1295 NW 14TH ST SUITE I
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City | MIAMI
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State | FL
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Zip | 33125-1610
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Country | US
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Telephone | 305-325-4541
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Fax | 305-324-5327
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Provider Business Mailing Address
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Address Line | 1295 NW 14TH ST SUITE I
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City | MIAMI
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State | FL
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Zip | 33125-1610
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Country | US
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Telephone | 305-325-4541
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Fax | 305-324-5327
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROLANDO CESAR MENDIZABAL
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Credential | M.D.
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Telephone | 305-325-4541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME26739
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License Number State | FL
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