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General NPI Number Information
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NPI Number | 1700400280
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Entity Type | Organization
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Legal Business Name | RELIABLE MD LLC
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2801 FRUITVILLE RD STE 140
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City | SARASOTA
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State | FL
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Zip | 34237-5301
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Country | US
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Telephone | 727-203-4613
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Fax | 727-290-4383
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Provider Business Mailing Address
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Address Line | 448 BEULAH ST
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City | WHITMAN
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State | MA
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Zip | 02382-1210
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Country | US
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Telephone | 727-203-4613
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Fax | 727-290-4383
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROB DURANTE
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Credential |
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Telephone | 781-252-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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