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General NPI Number Information
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NPI Number | 1740829852
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Entity Type | Individual
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Provider Name | OSCAR L RUQUE CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 7700 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-4113
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Country | US
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Telephone | 800-437-2672
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Fax |
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Provider Business Mailing Address
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Address Line | 8959 SW 172ND AVE APT 1423
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City | MIAMI
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State | FL
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Zip | 33196-3027
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Country | US
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Telephone | 786-269-8593
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9345739
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | APRN11005633
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11005633
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License Number State | FL
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