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General NPI Number Information
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NPI Number | 1700983046
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Entity Type | Individual
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Provider Name | ROGELIO SARMINTO MIRANDA MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 850 E XENIA DR STE. 200
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City | FAIRBORN
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State | OH
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Zip | 45324-8747
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Country | US
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Telephone | 937-352-2870
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Fax | 937-352-2874
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Provider Business Mailing Address
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Address Line | PO BOX 712893
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City | CINCINNATI
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State | OH
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Zip | 45271-2893
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Country | US
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Telephone | 800-517-0856
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Fax | 800-517-0856
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35035005
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License Number State | OH
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