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General NPI Number Information
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NPI Number | 1659707099
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Entity Type | Organization
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Legal Business Name | USA MEDICAL SERVICES UNLIMETED CORP
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 6001 NW 153RD ST STE 102
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2447
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Country | US
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Telephone | 305-818-1708
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Fax | 305-818-0359
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Provider Business Mailing Address
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Address Line | 6001 NW 153RD ST STE 102
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2447
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Country | US
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Telephone | 305-818-1708
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Fax | 305-818-0359
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL ROBERTO RONCHETTA
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Credential | MD
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Telephone | 305-818-7108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | HCC10784
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License Number State | FL
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