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General NPI Number Information
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NPI Number | 1699559682
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Entity Type | Individual
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Provider Name | JOSE RONDON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 15701 SW 56TH ST
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City | MIAMI
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State | FL
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Zip | 33185-3879
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Country | US
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Telephone | 305-552-7863
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Fax |
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Provider Business Mailing Address
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Address Line | 3181 SW 134TH CT
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City | MIAMI
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State | FL
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Zip | 33175-6637
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Country | US
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Telephone | 305-975-9587
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS66172
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License Number State | FL
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