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General NPI Number Information
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NPI Number | 1629095351
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Entity Type | Organization
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Legal Business Name | MAX F RATTES MD PA
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 310 W ALEXANDER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-7159
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Country | US
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Telephone | 813-719-1323
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Fax | 813-719-3560
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Provider Business Mailing Address
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Address Line | 310 W ALEXANDER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-7159
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Country | US
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Telephone | 813-719-1323
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Fax | 813-719-3560
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Authorized Official
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Title or Position | OWNER
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Name | MAX F RATTES
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Credential | MD
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Telephone | 813-719-1323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0062981
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License Number State | FL
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