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General NPI Number Information
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NPI Number | 1598896136
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Entity Type | Individual
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Provider Name | ROMUALD DANGERVIL RRT
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1630 NE 174TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1439
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Country | US
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Telephone | 786-417-3957
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Fax | 305-940-3829
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Provider Business Mailing Address
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Address Line | 1630 NE 174TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1439
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Country | US
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Telephone | 786-417-3957
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Fax | 305-940-3829
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT6258
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License Number State | FL
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