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General NPI Number Information
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NPI Number | 1760939722
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Entity Type | Organization
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Legal Business Name | RGR MEDICAL SERVICES CORP
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 1394 SW 22ND ST
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City | MIAMI
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State | FL
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Zip | 33145-2960
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Country | US
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Telephone | 305-924-2161
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 566060
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City | MIAMI
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State | FL
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Zip | 33256-6060
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Country | US
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Telephone | 305-924-2161
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Fax |
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Authorized Official
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Title or Position | INTERNIST
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Name | ROBERTO JOSE GARCIA
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Credential | M.D.
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Telephone | 305-924-2161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ACN845
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License Number State | FL
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