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General NPI Number Information
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NPI Number | 1710220116
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Entity Type | Individual
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Provider Name | MR. ROMMEL RUIZ
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Gender | Male
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 351 NW 42ND AVE STE 409
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City | MIAMI
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State | FL
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Zip | 33126-5683
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Country | US
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Telephone | 305-528-6025
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Fax |
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Provider Business Mailing Address
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Address Line | 11410 SW 191ST TER
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City | MIAMI
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State | FL
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Zip | 33157-7572
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Country | US
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Telephone | 305-528-6025
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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