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General NPI Number Information
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NPI Number | 1780977991
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Entity Type | Organization
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Legal Business Name | RENE J GOMEZ MD PA
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 7400 N KENDALL DR STE 511
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City | MIAMI
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State | FL
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Zip | 33156-7712
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Country | US
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Telephone | 305-670-8165
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Fax | 305-670-8164
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Provider Business Mailing Address
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Address Line | 7400 N KENDALL DR STE 511
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City | MIAMI
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State | FL
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Zip | 33156-7712
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Country | US
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Telephone | 305-670-8165
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Fax | 305-670-8164
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RENE J GOMEZ
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Credential | MD PA
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Telephone | 305-670-8165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME20305
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License Number State | FL
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