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General NPI Number Information
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NPI Number | 1851608053
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Entity Type | Organization
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Legal Business Name | ROLANDO J MENENDEZ MD PA
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 733 N 3RD ST
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City | LEESBURG
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State | FL
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Zip | 34748-4441
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Country | US
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Telephone | 352-365-2221
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Fax | 352-365-2227
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Provider Business Mailing Address
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Address Line | 733 N 3RD ST
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City | LEESBURG
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State | FL
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Zip | 34748-4441
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Country | US
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Telephone | 352-365-2221
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Fax | 352-365-2227
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PAMELA J BECK
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Credential |
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Telephone | 352-787-4235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0063570
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License Number State | FL
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