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General NPI Number Information
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NPI Number | 1578136008
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Entity Type | Individual
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Provider Name | RONALD WARD MEGRET APRN
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Gender | Male
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 15495 EAGLE NEST LN STE 225
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2265
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Country | US
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Telephone | 305-828-3214
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Fax |
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Provider Business Mailing Address
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Address Line | 3531 W 73RD TER
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-1715
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Country | US
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Telephone | 786-468-4871
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | APRN11011622
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License Number State | FL
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