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General NPI Number Information
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NPI Number | 1710781430
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Entity Type | Organization
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Legal Business Name | RSEGURAH, PA
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 9240 SW 72ND ST STE 241
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City | MIAMI
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State | FL
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Zip | 33173-3265
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Country | US
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Telephone | 786-224-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 3161 SW 24TH TER
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City | MIAMI
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State | FL
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Zip | 33145-3135
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Country | US
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Telephone | 786-224-8470
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAFAEL SEGURA HERRERA
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Credential | APRN
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Telephone | 786-224-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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