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General NPI Number Information
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NPI Number | 1578581112
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Entity Type | Individual
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Provider Name | ROBERT A MIDENCE MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 3700 EMERGENCY LN
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City | SEBRING
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State | FL
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Zip | 33870-5536
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Country | US
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Telephone | 863-386-4302
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Fax | 863-382-3928
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Provider Business Mailing Address
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Address Line | 3425 S HIGHLANDS AVE
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City | SEBRING
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State | FL
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Zip | 33870-5408
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Country | US
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Telephone | 863-471-9000
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Fax | 863-382-2300
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME60055
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License Number State | FL
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