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General NPI Number Information
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NPI Number | 1760509962
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Entity Type | Organization
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Legal Business Name | RESPIRATORY & DIAGNOSTIC CENTER OF FLORIDA CORP
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1152 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33014-5153
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Country | US
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Telephone | 305-512-7900
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Fax | 305-364-0420
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Provider Business Mailing Address
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Address Line | 1152 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33014-5153
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Country | US
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Telephone | 305-512-7900
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Fax | 305-364-0420
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Authorized Official
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Title or Position | PRESIDENT
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Name | IVAN RODRIGUEZ
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Credential |
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Telephone | 305-512-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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