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General NPI Number Information
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NPI Number | 1790742930
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Entity Type | Individual
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Provider Name | RICARDO REYES DPM
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 8351 SW 85TH TER
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City | MIAMI
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State | FL
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Zip | 33143-6974
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Country | US
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Telephone | 305-598-1039
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Fax |
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Provider Business Mailing Address
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Address Line | 8351 SW 85TH TER
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City | MIAMI
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State | FL
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Zip | 33143-6974
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Country | US
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Telephone | 305-598-1039
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO0002330
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License Number State | FL
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