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General NPI Number Information
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NPI Number | 1699220251
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Entity Type | Organization
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Legal Business Name | JADE THERAPEUTICS INC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 8150 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6710
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Country | US
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Telephone | 754-208-3765
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Fax | 754-208-3764
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Provider Business Mailing Address
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Address Line | 8150 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6710
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Country | US
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Telephone | 954-326-7139
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAIN ADALBERTO ROMAGOSA
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Credential | PTA
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Telephone | 954-326-7139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | FL
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