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General NPI Number Information
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NPI Number | 1831648492
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Entity Type | Organization
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Legal Business Name | MARIO RUEDA MD PLLC
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 3375 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4349
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Country | US
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Telephone | 561-799-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4349
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SURGEON
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Name | DR. MARIO RUEDA
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Credential | MD
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Telephone | 561-799-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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