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General NPI Number Information
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NPI Number | 1649118639
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Entity Type | Individual
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Provider Name | RIOT LESTAT GARMENDIZ
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Gender |
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 21550 BISCAYNE BLVD STE 202A
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City | AVENTURA
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State | FL
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Zip | 33180-1258
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Country | US
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Telephone | 305-707-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 4369 SW 10TH PL APT 205
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8335
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Country | US
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Telephone | 305-707-0368
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State | FL
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